In a 4-day-old baby a unique form of interrupted aortic arch was diagnosed, where
the interruption was located between the right carotid and the right subclavian arteries
in a right descending aorta. The additional large ductus was ligated, the VSD was
palliated with pulmonary arterial banding. For the repair of the interrupted aortic
arch with its long distance betweeen the ascending and descending portions and the
complicating proximity of the superior vena cava, a long pliable material had to be
used. The anastomosis was successfully performed with a bovine arterial heterograft.
Aortic arch interruption - Bovine arterial heterograft - Heart failure - Newborn
