The Korean Journal of Thoracic and Cardiovascular Surgery : eISSN 2093-6516 / pISSN 2233-601X

Fig. 2.

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Fig. 2. Isolated APW repair procedure. After external inspection of the extent of the APW, a careful dissection was performed, encircling the ascending aorta and both pulmonary arteries (A). After aortic cross-clamping, the incision was begun on the anterior part of the main PA to create a PA flap (B), and then extended to the back side of the APW, taking care not to damage the RPA opening (C). After separation of the aorta and PA (D), the main PA flap was sutured with a continuous 7-0 polypropylene suture to reconstruct the ascending aorta (E). Finally, the defect of the main PA was repaired with an autologous pericardial patch (F). APW, aortopulmonary window; PA, pulmonary artery; RPA, right pulmonary artery; LPA, left pulmonary artery; PV, pulmonary valve.
Korean Journal of Thoracic and Cardiovascular Surgery 2019;52:236~238
© Korean J Thorac Cardiovasc Surg