Abstract
The successful staged total correction of a Type-A interrupted aortic arch with VSD and PDA is described. 5 years old girl, who had undergone an operation of bilateral pulmonary artery banding in 57 days after birth, was doing well postoperatively but developed mild CHF and cyanosis gradually. Total correction was performed under deep hypothermic circulatory arrest with combination of bilateral pulmonary artery debanding, aortic arch reconstraction and VSD patch closure. Operation was performed with direct anastomosis between assending aorta and tube formed from anterior wall of the main pulmonay artery connected with PDA. Cardiac catheterization and angiography were performed 6 months later, and demonstrated a satisfactory reconstraction of aortic arch and recovering of right ventricular overload state. Surgical management of interrupted aortic arch and method of aortic arch reconstraction are discussed.
