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Eur J Cardiothorac Surg 2006;30:675-677
© 2006 Elsevier Science NL

How-to-do-it

Complete autologous reconstruction of the aorta and the pulmonary bifurcation in truncus arteriosus communis

Department of Cardiac Surgery, Ludwig-Maximilians University, Grosshadern University Hospital, Marchioninistrasse 15, 81377 Munich, Germany

Received 12 April 2006; received in revised form 16 June 2006; accepted 26 June 2006.

^_* Corresponding author. Address: Herzchirurgische Klinik, Klinikum Grosshadern, Marchioninistr. 15, 81377 Muenchen, Germany. Tel.: +49 8970953453; fax: +49 8970958873. (Email: Ingo.Kaczmarek{at}med.uni-muenchen.de).

Truncus arteriosus communis is a congenital heart malformation, which is usually repaired in the neonatal period or early infancy. Although results of repair are good, there is long-term morbidity caused by reoperations mainly owing to right ventricle to pulmonary artery conduit exchange or stenosis at the pulmonary artery bifurcation as recently reported for Contegra^® conduits. We present a new technique for complete autologous reconstruction of the aorta and the pulmonary bifurcation in truncus arteriosus type I and II.

Key Words: Congenital heart disease • Persistent truncus arteriosus • Surgery • Neonates