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Minimally Invasive Surgical Technique in Double Aortic Arch with Distal Atretic Left-Side in Infant: From a Single-Surgeon Clinical Experience

Qi Liu, Shoujun Li, Zhongdong Hua*

Pediatric Cardiac Surgery Center of Fuwai Hospital, Beijing, China

* Corresponding Author: Zhongdong Hua. Email: email

Congenital Heart Disease 2022, 17(5), 533-539. https://doi.org/10.32604/chd.2022.020496

Abstract

Background: Double aortic arch (DAA) with distal left-sided aortic arch atresia (LAAA) can form complete vascular ring by ligamentum connection. We aimed to introduce an uncommon DAA-LAAA diagnosis and treatment by the minimally invasive surgical technique (MIST). Methods: We retrospectively reviewed 7 cases of DAA-LAAA that were treated from January 2017 to July 2021. All infant patients underwent surgical repair by minimally invasive surgical technique. Mean follow-up was 14.43 months (range, 5–21 months). Results: There were seven patients with DAA-LAAA, including six males and one female. Median age was 19.29 months (range, 9.0–29.0 months). Median weight was 11.30 kg (range, 9.6–13.0 kg). Three patients were found severe tracheal compression by cardiac computed tomography angiography (cCTA). Six patients with isolated DAA-LAAA were performed operations through left subaxillary minithoracotomy, and one patient with ventricular septal defect (VSD) was performed operation concurrently under the cardiopulmonary bypass (CPB) through right subaxillary minithoracotomy. All patients had symptom improvement in the postoperative period and discharged successfully. Follow-up data showed good results in short-term. Conclusions: We introduce a new surgical pathway for DAA-LAAA treatment with good symptomatic relief in short-term. MIST is a safe, feasible and economical approach for infant patients.

Graphical Abstract

Minimally Invasive Surgical Technique in Double Aortic Arch with Distal Atretic Left-Side in Infant: From a Single-Surgeon Clinical Experience

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APA Style
Liu, Q., Li, S., Hua, Z. (2022). Minimally invasive surgical technique in double aortic arch with distal atretic left-side in infant: from a single-surgeon clinical experience. Congenital Heart Disease, 17(5), 533-539. https://doi.org/10.32604/chd.2022.020496
Vancouver Style
Liu Q, Li S, Hua Z. Minimally invasive surgical technique in double aortic arch with distal atretic left-side in infant: from a single-surgeon clinical experience. Congeni Heart Dis. 2022;17(5):533-539 https://doi.org/10.32604/chd.2022.020496
IEEE Style
Q. Liu, S. Li, and Z. Hua "Minimally Invasive Surgical Technique in Double Aortic Arch with Distal Atretic Left-Side in Infant: From a Single-Surgeon Clinical Experience," Congeni. Heart Dis., vol. 17, no. 5, pp. 533-539. 2022. https://doi.org/10.32604/chd.2022.020496



cc This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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