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The Annals of Thoracic Surgery, Vol 48, 587-589, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Truncus arteriosus with interrupted aortic arch: successful correction in a neonate

R McKay, S Miyamoto, I Peart, SA Battistessa, C Wren, M Cunliffe and A Robles
Royal Liverpool Children's Hospital, England.

Truncus arteriosus (type II) with interrupted aortic arch (type B) was successfully repaired at 11 days of age using anterior translocation of the pulmonary arteries, resection of the ductus arteriosus, and direct anastomosis between the descending aorta and truncus. This technique permitted wide reconstruction of the aortic arch and minimized the number of suture lines. It also positioned the right ventricle- pulmonary artery conduit anteriorly, which may simplify its subsequent replacement.


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