Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 12, Issue 1 , Pages 66-69, 2009

Transverse Aortic Arch Obstruction: When to Go from the Front

Presented at the Congenital Post Graduate Course at the 88th Annual Meeting of the AATS, San Diego, CA, May 11, 2008.

  • John W. Brown

      Affiliations

    • Corresponding Author InformationAddress correspondence to John W. Brown, MD, Section of Cardiothoracic Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH 215, Indianapolis, IN 46202-5123
  • ,
  • Mark D. Rodefeld
  • ,
  • Mark Ruzmetov

Section of Cardiothoracic Surgery, Indiana University School of Medicine, Indianapolis, IN

Transverse aortic arch hypoplasia involving some or all segments of the arch (tubular hypoplasia) may exist in association with intra-cardiac anomalies of varying severity. Surgical repair of the distal transverse aortic arch and isthmus are adequately managed by an extended end-to-end coarctation repair in most infants via a left thoracotomy. The surgical management and timing of proximal aortic arch obstruction is controversial but almost always requires an approach via sternotomy using cardiopulmonary bypass.

Keywords: Transverse aortic arch, aortic arch reconstruction, re-coarctation, continuous perfusion

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1092-9126(09)00025-8

doi:10.1053/j.pcsu.2009.01.024

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 12, Issue 1 , Pages 66-69, 2009