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  • Title: [Application of an extended aortic arch anastomosis for staged repair of type A interruption: a case report of a 13-day-old neonate].
    Author: Ogawa K, Koike A, Yano Y, Hayase S, Kidokoro H, Hattori T, Nakamura S, Ono S, Hatano T.
    Journal: Kyobu Geka; 1990 Dec; 43(13):1088-91. PubMed ID: 2273678.
    Abstract:
    A 2-day-old girl was found to have a type A interruption of aortic arch, ventricular septal defect and patent ductus arteriosus with severe metabolic acidosis. Following aggressive medical treatment with Prostaglandin E1 and inotropic agents, she underwent arch reconstruction by extended aortic arch anastomosis and pulmonary arterial banding on her 13th day. Six months after first stage repair, a subarterial infundibular VSD was closed transpulmonary and reconstruction of pulmonary artery was done by end-to-end anastomosis. She shows normal development, strong femoral pulse and no neurologic sequelae after 8 months postoperatively.
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