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Ann Thorac Surg 2008;85:1451-1453. doi:10.1016/j.athoracsur.2007.10.078
© 2008 The Society of Thoracic Surgeons
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Case Reports

Interruption of the Ascending Aorta: A Hitherto Undescribed Lesion

Michael Weidenbach, MDa,*, Ingo Daehnert, MDa, Vit Razek, MDa, Alexandra Beller, MDc, Jan Janousek, MDa, Martin Kostelka, MDb, Robert H. Anderson, MDd

a Department of Pediatric Cardiology, Heart Center Leipzig, Leipzig, Germany
b Department of Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
c Department of Pathology, University of Leipzig, Leipzig, Germany
d Cardiac Unit, Institute of Child Health, University College, London, United Kingdom

Accepted for publication October 23, 2007.

* Address correspondence to Dr Weidenbach, Department of Pediatric Cardiology, Heart Center Leipzig, Struempellstr. 39, Leipzig, 04107, Germany (Email: michael.weidenbach{at}medizin.uni-leipzig.de).

We are describing a most unusual variant of aortic arch interruption. The ascending aorta was atretic above the sinutubular junction forming a blind-ending pouch. The coronary arteries were the only vessels arising from the aortic trunk. All the brachiocephalic vessels were perfused in retrograde fashion through the arterial duct. The aortic valve itself was dysplastic, stenotic, and permitted severe regurgitation. There was no subaortic obstruction. A modified first stage Norwood palliation was performed. Due to myocardial insufficiency transthoracic extracorporeal membrane oxygenation had to be commenced at the end of surgery. Unfortunately the child died due to severe intracranial hemorrhage.






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