Anterior translocation of the right pulmonary artery for relief of airway compression in the repair of distal aortopulmonary window and interrupted aortic arch |
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Authors: | Chang Yun Hee Sung Si Chan Kim Hyungtae Lee Hyoung Doo |
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Institution: | Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Catholic Medical Center, Seoul, Republic of Korea. |
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Abstract: | Airway compression by dilated right pulmonary artery (RPA) in infants with congenital heart disease can cause severe respiratory insufficiency and increase postoperative morbidity. Anterior aortopexy can be a good solution. However, in a case in which aortic arch repair is required, anterior aortopexy might not be effective or can be dangerous. Anterior translocation of the RPA can be a good option to avoid postoperative airway obstruction. We adopted this technique in a one-stage complete repair of distal aortopulmonary window, aortic origin of the RPA, interrupted aortic arch, and ventricular septal defect in a neonate with compression of both main bronchi. After 37 months of follow-up, no problem was encountered with her airway or RPA. We describe the technique used and the results obtained. |
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Keywords: | 20 |
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