Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction

Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to t...

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Main Authors: June Lee, Yong Han Kim, Cheul Lee
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2019-02-01
Series:Korean Journal of Thoracic and Cardiovascular Surgery
Subjects:
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author June Lee
Yong Han Kim
Cheul Lee
author_facet June Lee
Yong Han Kim
Cheul Lee
author_sort June Lee
collection DOAJ
description Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.
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spelling doaj.art-8fabc9a43c2d4eab97f75a6f709cd2482022-12-21T18:18:21ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162019-02-01521323510.5090/kjtcs.2019.52.1.32Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract ObstructionJune Lee0Yong Han Kim1Cheul Lee2Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaSurgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.Interrupted aortic archSystemic outflow tract obstructionHybrid palliationYasui operationCongenital heart disease (CHD)
spellingShingle June Lee
Yong Han Kim
Cheul Lee
Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
Korean Journal of Thoracic and Cardiovascular Surgery
Interrupted aortic arch
Systemic outflow tract obstruction
Hybrid palliation
Yasui operation
Congenital heart disease (CHD)
title Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
title_full Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
title_fullStr Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
title_full_unstemmed Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
title_short Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
title_sort staged repair after hybrid palliation for interrupted aortic arch with systemic outflow tract obstruction
topic Interrupted aortic arch
Systemic outflow tract obstruction
Hybrid palliation
Yasui operation
Congenital heart disease (CHD)
work_keys_str_mv AT junelee stagedrepairafterhybridpalliationforinterruptedaorticarchwithsystemicoutflowtractobstruction
AT yonghankim stagedrepairafterhybridpalliationforinterruptedaorticarchwithsystemicoutflowtractobstruction
AT cheullee stagedrepairafterhybridpalliationforinterruptedaorticarchwithsystemicoutflowtractobstruction