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Eur J Cardiothorac Surg 2002;22:148-150
© 2002 Elsevier Science NL

How-to-do-it

A modified technique for repair of the anomalous origin of the right pulmonary artery from the ascending aorta

^a Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, Italy
^b I.R.C.C.S. NEUROMED, Via Atinense, N.18, 86077 Pozzilli, Italy

Received 14 September 2001; received in revised form 11 February 2002; accepted 26 March 2002.

* Corresponding author. G. Pasquinucci Hospital, CREAS-IFC-CNR, Via Aurelia Sud, 54100, Massa, Italy. Fax: +39-0585-493616
e-mail: edvinprifti{at}hotmail.com

We report a modified technique of right pulmonary artery implantation to the main pulmonary artery with interposition of a tube created from the great arterial wall for an anomalous origin of the right pulmonary artery from the right lateral aspect of the ascending aorta. This technique offers extra autologous tissue length and reduced tension at the anastomotic site. It also offers the possibility to place the anomalous right pulmonary artery anterior to the ascending aorta, avoiding the aortic compression. This technique was employed successfully in a 15-week-old female.

Key Words: Anomalous origin • Right pulmonary artery • Double flap technique

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