Titre
Two-stage repair of interrupted aortic arch type A: Arch reconstruction and pulmonary artery banding without CPB through a left thoracotomy.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Multimedia manual of cardiothoracic surgery
Auteur(s)
Di Pasquale, L.
Auteure/Auteur
Dranseika, V.
Auteure/Auteur
Erdil, T.
Auteure/Auteur
Prêtre, R.
Auteure/Auteur
Dave, H.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1813-9175
Statut éditorial
Publié
Date de publication
2020-07-06
Volume
2020
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Video-Audio Media
Publication Status: epublish
Publication Status: epublish
Résumé
Treatment of interrupted aortic arch (IAA) is inherently challenging. Single-stage complete repair has become the norm in contemporary practice. While palliation, in general, has fallen out of favor, a 2-stage approach to correcting selected type A IAA appears to be a productive, safe, and effective option, considering the neonatal age at repair. In this video tutorial, we demonstrate our preferred technique for neonatal aortic arch repair and pulmonary artery banding, which constitute the first stage of the 2-stage repair. Key steps of stage 1 repair are demonstrated and the arguments supporting our approach are presented. This approach significantly reduces morbidity and results in a well-palliated ventricular septal defect (VSD). We also briefly discuss stage 2 of the repair, which is a straightforward VSD closure and pulmonary artery debanding procedure when the child is older and more resilient.
PID Serval
serval:BIB_A39F9C049050
PMID
Date de création
2020-07-13T10:22:49.938Z
Date de création dans IRIS
2025-05-21T00:39:04Z