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  • Title: Interrupted aortic arch. A conservative approach for the sick neonate.
    Author: Kron IL, Rheuban KS, Carpenter MS, Nolan SP.
    Journal: J Thorac Cardiovasc Surg; 1983 Jul; 86(1):37-40. PubMed ID: 6865464.
    Abstract:
    Interrupted aortic arch with associated ventricular septal defect is a congenital cardiovascular defect which, untreated, is lethal in nearly 100% of the cases. We have treated nine patients by reconstructing the aorta with endogenous arch vessels; in five of them, concomitant pulmonary artery banding was also done. If two infants with preoperative complete renal failure are excluded, the mortality with this approach is only 29%. Long-term follow-up of these patients demonstrates excellent hemodynamic results with marked reduction of the anastomotic gradient in the older survivors. Growth of the anastomosis has been noted in the older survivors.
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