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KMID : 1164620190520010032
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Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 1 p.32 ~ p.35
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Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
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Lee June
Kim Yong-Han
Lee Cheul
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Abstract
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Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.
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KEYWORD
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Interrupted aortic arch, Systemic outflow tract obstruction, Hybrid palliation, Yasui operation, Congenital heart disease (CHD)
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