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Successful reoperation for severe left bronchus compression after repair of persistent truncus arteriosus with
T Tláskal1, B Hucín, M Kostelka
1Kardiocentrum, University Hospital Motol, Prague, Czech Republic. tomas.tlaskal@lfmotol.cuni.cz
Abstract:
Signs of the left bronchus compression, caused by aneurysmatic dilatation of the aortic root with severe aortic regurgitation, occurred 5 months after repair of the truncus arteriosus with interrupted aortic arch in an 85-day-old infant. At reoperation the dilated ascending aorta was replaced with a 14-mm Dacron tube. The aortic valve was replaced with an 18-mm Carbomedics valve. Compression of the left bronchus and the right pulmonary artery were released. The right pulmonary artery was enlarged with a pericardial patch and the original homograft was replaced with a new one. The patient remains in good clinical condition 2 years later.