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KMID : 0364019910240020206
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 2 p.206 ~ p.211
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Interrupted Aortic Arch (Type A) associated with ventricular septal defect, patent ductus arteriosus and patent foramen ovalae
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김한용/Kim, H.Y.
장재현/이필수/박도웅/송원영/유병하/Chang, J.H./Lee, P.S./Park, D.W./Song, W.Y./Yoo, B.H.
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Abstract
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Interruption of the aortic arch may be defined as discontinuity of the aortic arch in which either an aortic vessel or a patent ductus arteriosus supplies the descending aorta
This anomaly is a rare congenital malformation that usually occurs with severe associated intracardiac congenital anomalies, such as ventricular septal defect, patent foramen ovalae and abnormal arrangement of the brachiocephalic arteries.
Rarely, transposition of the great vessel, truncus arteriosus are coexistant. We experienced a case of the interrupted aortic arch (Type A) associated with VSD, PDA and patent foramen ovalae in a 16 years old female.
One stage total correction was done under profound hypothemia with total circulatory arrest.
Aortic continuity was estabilshed using patent ductus arteriosus with anterior wall of main pulmonary artery, which was anastomosed obliquely to anteromedial side of the ascending aorta.
Ventricular septal defect was closed using Dacron patch and patent foramen ovalae was closed directly.
Postoperative course was uneventful, except mild hoarseness.
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