Kyobu geka. The Japanese journal of thoracic surgery
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Case Reports
[Emergent ascending and arch replacement for acute type A aortic dissection with anomalies of the aortic arch].
We experienced 4 cases that had to be performed emergent ascending and arch replacement for acute type A aortic dissection with anomalies of the aortic arch (aberrant right subclavian artery in 2 case and isolated left vertebral artery in 2 cases). As for the aberrant right subclavian artery, preoperative diagnosis is possible by CT scan. We must not overlook aberrant right subclavian artery in order to prevent brain complication in emergency arch replacement for acute type A aortic dissection. For the isolated left vertebral artery, incision of the aortic arch is recommended for its reconstruction.
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Case Reports
[Tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries].
Patients with tetralogy of Fallot (TOF), pulmonary atresia (PA), and major aortopulmonary collateral artery (MAPCA) usually need some staged surgical procedures. There is no clear consensus to the initial procedure and also the most proper initial procedure is different in each case. We report here a case of 6-year-old girl with TOF, PA, and MAPCA. ⋯ Her pulmonary artery got good growth after the palliative surgery. Five years later she underwent complete repair after two other surgeries and 1 interventional embolization. RVOTR is a useful procedure for pulmonary artery growth, but it should be well considered that what size of RVOTR is needed in each case.