Repair of double aortic arch in patients with concomitant cardiac anomalies

J Card Surg. 2016 Oct;31(10):635-638. doi: 10.1111/jocs.12818. Epub 2016 Aug 29.

Abstract

Background: Double aortic arch (DAA) associated with other cardiac anomalies is uncommon. We review the outcomes of primary complete repair of DAA with concomitant cardiac anomalies in a single center.

Methods: From September 2005 through March 2014, 15 patients underwent primary complete repair of DAA with concomitant cardiac anomalies. The mean age was 53 months (range, two months to 19 years).

Results: All patients underwent primary complete correction through a median sternotomy. One patient died in hospital from severe pneumonia. The intubation time ranged from 20 to 68 h and the intensive care unit stay ranged from one day to five days. Postoperative complications were infrequent and included left vocal cord paralysis in one patient. A residual ventricular septal defect was found in one patient. During follow-up, all patients were in New York Heart Association Class I.

Conclusions: Primary complete repair of DAA with concomitant cardiac anomalies is feasible and results in excellent long-term outcomes.

MeSH terms

  • Adolescent
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Cardiac Surgical Procedures / methods*
  • Child
  • Child, Preschool
  • Computed Tomography Angiography
  • Echocardiography
  • Female
  • Follow-Up Studies
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant
  • Male
  • Multidetector Computed Tomography
  • Retrospective Studies
  • Vascular Malformations / diagnosis
  • Vascular Malformations / surgery*
  • Vascular Surgical Procedures / methods*
  • Young Adult