CC BY-NC-ND 4.0 · Journal of Cardiac Critical Care TSS 2022; 06(01): 082-083
DOI: 10.1055/s-0042-1750193
Point of Technique

Truncus Arteriosus with Interrupted Aortic Arch: Aortic Arch Reconstruction Without Circulatory Arrest

1   Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
,
Milind Padmakar Hote
1   Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
,
Naga Sai Manjusha CH
1   Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations

Abstract

Truncus arteriosus (TA) with interrupted aortic arch (IAA) is a rare congenital cardiac anomaly. Traditionally, IAA would require period of deep hypothermic circulatory arrest (DHCA) for aortic arch reconstruction. DHCA may cause myocardial depression and neuro-developmental dysfunction. IAA repair is presently being performed with hypothermic low-flow selective cerebral perfusion and distal body circulatory arrest. Even though this prevents cerebral adverse effects of DHCA, there is still risk to the spinal cord and kidneys.

Here, we describe the aortic arch reconstruction by maintaining the total body perfusion without any periods of circulatory arrest in a neonate with TA with IAA.

Ethics Approval

Not applicable


Consent for Publication

Consent was taken from patient's father for publication




Publication History

Article published online:
01 June 2022

© 2022. Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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