Kazunobu Hirooka, Charles D. Fraser The Annals of Thoracic Surgery

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Presentation transcript:

Ross-Konno Procedure With Interrupted Aortic Arch Repair in a Premature Neonate Kazunobu Hirooka, Charles D. Fraser The Annals of Thoracic Surgery Volume 64, Issue 1, Pages 249-251 (July 1997) DOI: 10.1016/S0003-4975(97)00457-8

Fig. 1 Operative photograph showing 14-gauge angiography catheters for arterial cannulation of the ascending aorta and ductus. The Annals of Thoracic Surgery 1997 64, 249-251DOI: (10.1016/S0003-4975(97)00457-8)

Fig. 2 The Ross-Konno procedure. (A) Exposure and site of incision (dashed lines). (B) The pulmonary autograft is harvested with a gusset of right ventricular muscle. Coronary buttons are developed and the aortic root is incised through the annulus into the ventricular septal defect. The ascending and the descending aorta are incised vertically to be anastomosed in side-to-side fashion. (C) The pulmonary autograft is implanted at the aortic annulus and the ventricular septal defect is closed with the muscle flap. Coronary buttons are implanted in appropriate positions. (D) A pulmonary homograft valved conduit is sutured directly to the right ventricle and the pulmonary artery. The neoaorta and the autograft are anastomosed in end-to-end fashion behind the pulmonary artery. The Annals of Thoracic Surgery 1997 64, 249-251DOI: (10.1016/S0003-4975(97)00457-8)