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

Journal of Cardiac Critical Care TSS

Naga Sai Manjusha CH¹  Bharath V.¹  Milind Padmakar Hote¹ 

[1] Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India;

关键词: truncus arteriosus;    interrupted aortic arch;    circulatory arrest;    neurocognitive dysfunction;   

DOI  :  10.1055/s-0042-1750193

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown