[Reconstructive surgery of aortic arch interruption in adults]

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Vascular Surgery

Background:

• Aortic arch interruption is a rare congenital defect requiring surgical intervention.
• Surgical outcomes in adults with this condition are not well-established.

Purpose of the Study:

• To evaluate the surgical results and outcomes of treating adults with aortic arch interruption.

Main Methods:

• Seven adult patients with aortic arch interruption underwent surgical repair.
• Procedures included aortic arch repair with allograft and aortic replacement (distal arch, ascending aorta, and descending aorta).
• Operations utilized moderate hypothermia, circulatory arrest, and unilateral cerebral perfusion.

Main Results:

• No 30-day mortality or in-hospital mortality was observed.
• 100% of patients achieved sufficient descending aortic lumen post-operatively.
• No instances of renal insufficiency, cerebrovascular, or spinal cord lesions occurred.

Conclusions:

• Reconstructive surgery for adult aortic arch interruption is an effective approach.
• The study demonstrates good clinical and hemodynamic results.
• This surgical strategy is associated with favorable patient outcomes.