Surgical Repair of Double Outlet Right Ventricle and Coarctation of the Aorta in a Neonate with a Right Aortic Arch

(Department of Cardiovascular Surgery, Yokohama City University School of Medicine, Yokohama, Japan)

Yoshifumi Kunii Keiichiro Kasama Motohiko Goda
Hiroharu Hikawa Yukihisa Isomatsu Masatsugu Terada
Yoshinori Takanashi
Coarctation of the aorta (CoA) complicates with right aortic arch (RAA) is very rare, and its surgical treatment in the neonatal period is extremely uncommon. We performed surgical repair for a 27-day-old boy given a diagnosis of double outlet right ventricle (DORV) and CoA with RAA. The procedures consisted of an arterial switch, intra-ventricular re-routing, aortic arch reconstruction using an equine-pericardial roll and right ventricular outflow reconstruction (RVOTR) with autologous pericardium. We performed re-RVOTR 41 days after the operation because the autologous pericardium used for RVOTR showed aneurysmal dilatation. After the second operation, this patient has done well.
@Jpn. J. Cardiovasc. Surg. 35: 188-191 (2006)