The neonatal hypoplastic aortic arch: Decisions and more decisions

Stephen M. Langley, Rachel E. Sunstrom, Richard D. Reed, Andrew J. Rekito, Rabin Gerrah

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Neonatal patients with hypoplasia of the aortic arch constitute a heterogeneous group with a wide spectrum of severity. The milder end of the spectrum comprises patients with aortic coarctation and isthmus hypoplasia. At the other end of the spectrum are patients with severe transverse arch hypoplasia or hypoplastic left heart syndrome. The aim of this paper is to discuss the various strategies and surgical approaches available for this group of patients, focusing on the surgical decisions that influence individual patient management. Many of the things discussed are applicable to any neonatal arch problem. We also describe and discuss in detail our surgical technique for patients who undergo neonatal repair of a hypoplastic aortic arch via median sternotomy.

Original languageEnglish (US)
Pages (from-to)43-51
Number of pages9
JournalSeminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume16
Issue number1
DOIs
StatePublished - Apr 9 2013

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Cardiology and Cardiovascular Medicine

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