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KMID : 0364019950280060610
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 6 p.610 ~ p.618
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One Stag Repair of Interruption of Aortic Arch with VSD in Neonate
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전희재
조은희/최필조/성시찬/우종수/이형두
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Abstract
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Three neonates with interrupted aortic arch with VSD underwent one stage repair using revised technique of cardiopulmonary bypass with short period of circulatory arrest. A left posterolateral thoracotomy was made to permit mobilization of the
descending aorta and placement of polytetrafluoroethylene (PTFE) graft for distal aortic perfusion. Then the patient was placed in the supine position and a median sternotomy was performed to permit the proximal dissection, VSD repair, and direct
anastomosis between the ascending aorta and descending aorta. This technique has advantages to facilitate direct anastomosis between the ascending aorta and the descending aorta, to lessen circulatory arrest time, and to prevent dangerous
laceration and
post-operative narrowing of the thin small ascending aorta at cannulation site. There was no operative mortality but postoperative stenosis developed in one case which was relieved with balloon aortoplasty.
(Korean J Thorac Cardiovasc Surg 1995;28:610-8)
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