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Surgical repair for common arterial trunk with pulmonary dominance, hypoplasia of ascending aorta, and interrupted aortic arch


1 Department of Cardiothoracic Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
2 Department of Cardiology, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Sachin Talwar
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_147_18

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Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 287-291

 

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The arrangement of aortic and pulmonary pathways is extremely variable in the hearts with a common arterial trunk. Almost always, interruption of the aortic arch is seen in the setting of hypoplasia of the ascending aorta and dominance of the pulmonary circulation. This subset poses substantial challenges in surgical repair and portends poor outcomes. In this report, we briefly describe the technique of ascending aorta reconstruction and other aspects of the surgical repair of this rare malformation.






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1 Department of Cardiothoracic Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
2 Department of Cardiology, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Sachin Talwar
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_147_18

Rights and Permissions

The arrangement of aortic and pulmonary pathways is extremely variable in the hearts with a common arterial trunk. Almost always, interruption of the aortic arch is seen in the setting of hypoplasia of the ascending aorta and dominance of the pulmonary circulation. This subset poses substantial challenges in surgical repair and portends poor outcomes. In this report, we briefly describe the technique of ascending aorta reconstruction and other aspects of the surgical repair of this rare malformation.






[FULL TEXT] [PDF]*


        
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