Korean J Thorac Cardiovasc Surg 2019; 52(1): 32-35  https://doi.org/10.5090/kjtcs.2019.52.1.32
Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
June Lee, M.D., Yong Han Kim, M.D., Cheul Lee, M.D.
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea
Corresponding author: Cheul Lee, Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea
(Tel) 82-2-2258-6131 (Fax) 82-2-594-8644 (E-mail) tscheul@hanmail.net
Received: August 20, 2018; Revised: September 17, 2018; Accepted: September 18, 2018.; Published online: February 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.
Keywords: Interrupted aortic arch, Systemic outflow tract obstruction, Hybrid palliation, Yasui operation, Congenital heart disease (CHD)


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