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Thorac Cardiovasc Surg 1998; 46(3): 156-158
DOI: 10.1055/s-2007-1010215
Case Report

© Georg Thieme Verlag Stuttgart · New York

Combined Norwood and Rastelli Procedure for Repair of Interrupted Aortic Arch with Subaortic Stenosis

V. Steger, M. K. Heinemann, C. Irtel von Brenndorff1 , G. Ziemer
  • Division of Cardiothoracic and Vascular Surgery, Department of Surgery, University of Tübingen, Tübingen, Germany
  • 1Division of Pediatric Cardiology, Department of Pediatrics, University of Tübingen, Tübingen, Germany
Further Information

Publication History

1998

Publication Date:
19 March 2008 (online)

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Abstract

A neonate presented with an interrupted aortic arch type B and VSD with dysplastic aortic valve, subaortic Stenosis, and aberrant right subclavian artery. We performed a direct anastomosis between the hypoplastic ascending aorta (ø 3 mm), the main pulmonary artery and the descending aorta, mimicking a Norwood-type ventricular outlet. The right-ventricular outflow tract was reconstructed with a 8 mm PTFE vascular graft. This combination of a modified Norwood with a Rastelli procedure facilitated establishment of a sufficiently large left-ventricular outflow tract via VSD, at the same time maintaining a biventricular System despite the coexisting anomalies.

Key words

Interrupted aortic arch - Norwood-procedure - Rastelli-procedure - Newborn - Subaortic Stenosis - Congenital heart disease