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1 results

  • Surgical repair of interrupted aortic arch with ventricular septal defect

  • Lindsey D Allan, Howard D Apfel, Yosef Levenbrown, Jan M Quaegebeur
  • Journal:
    Cardiology in the Young / Volume 8 / Issue 2 / April 1998
    Published online by Cambridge University Press:
    19 August 2008, pp. 217-220
  • Background

    Interrupted aortic arch is often associated with subaortic narrowing and hypoplasia of the aortic orifice. The best surgical strategy for the management of these additional lesions is a matter of current debate.

    Methods and Results

    Between 1986 and 1996, 19 patients underwent repair of interrupted aortic arch with closure of ventricular septal defect in a single stage, with no attempt at subaortic resection, irrespective of the dimensions of the left ventricular outflow tract. There was no perioperative hospital mortality, and all patients were alive at 1 year. Follow-up ranges from 0.75 −10 years, with a mean 4.2 ± 3.0 years. Seven patients (37%) have required reintervention for relief of subaortic stenosis, 2 of whom have died.

    Conclusions

    Our results suggest that primary one-stage biventricular repair can be accomplished with low perioperative mortality without addressing the subaortic region. Further long-term follow-up will determine whether this is accomplished at the expense of later morbidity and mortality.