Two Stage Repair of Interrupted Aortic Arch Complex Following Extended Aortic Arch Direct Anastomosis in Neonate-A Case Report

Abstract

A boy with interrupted aortic arch (Celoria-Patton A type) associated with ventricular septal defect (VSD) underwent extended end-to-end direct anastomosis through the left thoracotomy at 24 days of age and patch closure of VSD at 3 months. There was no pressure gradient between the upper and the lower limbs at the time of radical operation. However, it became 30mmHg two and a half years later. The patient has been growing well. This repair of the aortic arch, a modification of direct anastomosis first used for coarctation of aorta associated with hypoplastic aortic arch, is useful also for initial repair of interrupted aortic arch because the lower risk of residual stenosis is anticipated than other methods.