A Novel Surgical Technique for Right-Sided Interrupted Aortic Arch by Interposition of a Pulmonary Autograft Tube Nobuyasu Kato, MD, Masaaki Yamagishi,

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A Novel Surgical Technique for Right-Sided Interrupted Aortic Arch by Interposition of a Pulmonary Autograft Tube Nobuyasu Kato, MD, Masaaki Yamagishi, MD, PhD, Takako Miyazaki, MD, PhD, Yoshinobu Maeda, MD, Satoshi Asada, MD, Hisayuki Hongu, MD, Eijiro Yamashita, MD, Hitoshi Yaku, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e125-e127 (August 2016) DOI: 10.1016/j.athoracsur.2015.11.072 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Aortic arch reconstruction with a pulmonary autograft tube (PA tube). After aortic cross-clamping, we obtain tissue from the pulmonary trunk wall and roll it to form the PA tube 7 mm in diameter and 10 mm long. Ductal tissue is removed, and the PA tube is implanted to interpose from the ascending aorta to the descending aorta. (AAo = ascending aorta; DAo = descending aorta; PA tube = pulmonary autograft tube; PDA = patent ductal artery; PT = pulmonary trunk.) The Annals of Thoracic Surgery 2016 102, e125-e127DOI: (10.1016/j.athoracsur.2015.11.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (a, b) Preoperative and (c, d) postoperative three-dimensional (3D) multidetector computed tomography (MDCT) showing (a) and (c) anterior view (A), (b) and (d) right-side view (R). Postoperative 3D-MDCT showing the new aortic arch reconstructed without compression of the right bronchus and without aortic stenosis. (AAo = ascending aorta; DAo = descending aorta; PA tube = pulmonary autograft tube; PDA = patent ductal artery; PT = pulmonary trunk.) The Annals of Thoracic Surgery 2016 102, e125-e127DOI: (10.1016/j.athoracsur.2015.11.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions