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Eur J Cardiothorac Surg 1998;13:306-309
© 1998 Elsevier Science NL

Case report

Successful reoperation for severe left bronchus compression after repair of persistent truncus arteriosus with interrupted aortic arch¹

Tomá Tláskal, Bohumil Huín, Martin Kostelka, Jan kovránek

Kardiocentrum, University Hospital Motol, V úvalu 84, 150 06 Prague 5, Czech Republic

Received 27 October 1997; received in revised form 6 January 1998; accepted 14 January 1998.

Corresponding author. Tel.: +420 2 24432900; fax: +420 2 24432920; e-mail: tomas tlaskal@lf motol.cuni.cz

Signs of the left bronchus compression, caused by aneurysmatic dilatation of the aortic root with severe aortic regurgitation, occurred 5 months after repair of the truncus arteriosus with interrupted aortic arch in an 85-day-old infant. At reoperation the dilated ascending aorta was replaced with a 14-mm Dacron tube. The aortic valve was replaced with an 18-mm Carbomedics valve. Compression of the left bronchus and the right pulmonary artery were released. The right pulmonary artery was enlarged with a pericardial patch and the original homograft was replaced with a new one. The patient remains in good clinical condition 2 years later.

Key Words: Congenital heart disease • Persistent truncus arteriosus • Interrupted aortic arch • Left bronchus compression • Cardiac surgery in infants • Reoperations

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