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KMID : 0364019970300010083
Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 1 p.83 ~ p.87
A New Method of One Stage Correction of Taussig-Bing Anomaly with Interrupted Aortic Arch


Abstract
Taussig-Bing anomaly is infrequently associated with interrupted aortic arch and size discrepancy of great arteries makes it difficult to undergo arch recons-truction and arterial switch operation. A 20-day old male infant was admitted with the
diagnosis of Taussig-Bing anomaly with type B interrupted aortic arch. Multi-organ failure, due to the diminution of ductal flow, was stabilized after 3 weeks of prostaglandin E1 and controlled ventilatory support. The surgical correction
consisted
of
VSD closure, arterial swtich and extended aortic arch reconstruction. The marked disparity between the hypoplastic ascending aorta and the dilated main pulmonary artery was overcome by constructing distal neoaorta using both native ascending and
descending aortic tissue. The patient was extubated on postoperative 2 nd day. Postoperative catheterization showed no left ventricular outflow obstruction, no intracardiac shout, and no incompetence of neoaortic valve.
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