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Eur J Cardiothorac Surg 2007;31:555-557. doi:10.1016/j.ejcts.2006.11.058
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Neonatal repair of right interrupted aortic arch, aberrant left subclavian artery, ventricular septal defect and retroaortic innominate vein

Michael W.A. Chua,c, Luc F. Jutrasb, Christo I. Tchervenkova,*

a Division of Pediatric Cardiovascular Surgery, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, Quebec, Canada
b Division of Cardiology, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, Quebec, Canada
c Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, London, Ontario, Canada

Received 6 June 2006; received in revised form 27 October 2006; accepted 20 November 2006.

* Corresponding author. Address: The Montreal Children's Hospital, McGill University, 2300 Tupper Street, Room C-829, Montreal, Canada H3H 1P3. Tel.: +1 514 412 4400x22394; fax: +1 514 412 4330. (Email: christo.tchervenkov{at}muhc.mcgill.ca).

We report a rare case of neonatal biventricular repair of a right interrupted aortic arch (type B), with an aberrant left subclavian artery, ventricular septal defect and retroaortic innominate vein in a 4-week-old, 2.7 kg neonate with DiGeorge syndrome. The patient had an unremarkable postoperative recovery. We discuss the anatomy of this rare congenital anomaly, its surgical implications and issues surrounding the adequacy of the left ventricular outflow tract.

Key Words: Right interrupted aortic arch • Aberrant subclavian artery • Neonatal repair • Biventricular repair • DiGeorge syndrome • Congenital heart disease






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.