Successful reoperation for severe left bronchus compression after repair of persistent truncus arteriosus with interrupted aortic arch

• Published in: European journal of cardio-thoracic surgery Vol. 13; no. 3; pp. 306 - 309
• Main Authors: Tláskal, Tomáš, Hučín, Bohumil, Kostelka, Martin, Ŝkovránek, Jan
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Amsterdam Elsevier Science B.V 01-03-1998; Elsevier Science
• Subjects: Aorta, Thoracic - abnormalities; Aorta, Thoracic - surgery; Aortic Aneurysm - complications; Aortic Valve; Biological and medical sciences; Bronchial Diseases - etiology; Bronchial Diseases - surgery; Cardiac surgery in infants; Congenital heart disease; Constriction, Pathologic; Heart Valve Diseases - complications; Humans; Infant; Interrupted aortic arch; Left bronchus compression; Medical sciences; Persistent truncus arteriosus; Postoperative Complications; Reoperation; Reoperations; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Truncus Arteriosus, Persistent - surgery; Compression; Cardiovascular disease; Infant; Vascular disease; Heart disease; Surgery; Bronchus disease; Complication; Evolution; Human; Reoperation; Corrective surgery; Interruption; Aorta arch; Respiratory disease; Treatment efficiency; Right pulmonary artery; Bronchus; Congenital disease; Case study; Concomitant disease; Treatment; Malformation; Technique; Aortic disease; Truncus arteriosus
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/S1010-7940(98)00017-7

Signs of the left bronchus compression, caused by aneurysmatic dilatation of the aortic root with severe aortic regurgitation, occurred 5 months after repair of the truncus arteriosus with interrupted aortic arch in an 85-day-old infant. At reoperation the dilated ascending aorta was replaced with a 14-mm Dacron tube. The aortic valve was replaced with an 18-mm Carbomedics valve. Compression of the left bronchus and the right pulmonary artery were released. The right pulmonary artery was enlarged with a pericardial patch and the original homograft was replaced with a new one. The patient remains in good clinical condition 2 years later.