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(Circulation. 1968;37:II-43.)
© 1968 American Heart Association, Inc.

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A New Operation for Repairing Aortic Arch Atresia in Infancy

Report of Three Cases

HOWARD D. SIRAK M.D.¹; MEHDI RESSALLAT M.D.¹; DON M. HOSIER M.D.¹; ALFRED A. DELORIMIER M.D.¹

¹ From the Cardiovascular Service, Division of Thoracic Surgery, and the Division of Pediatric Cardiology, Ohio State University and The Children's Hospitals, Columbus, Ohio 43210.

Aortic arch atresia is a comparatively rare congenital anomaly that commonly produces heart failure and death in early infancy. A new operative procedure is described which is applicable to type I, where the atresia lies distal to the left subclavian artery. It provides a lumen that is equal to the descending thoracic aorta by using the conjoined orifices of the left subclavian and common carotid arteries for anastomosis to the distal thoracic aorta. The chief advantage of this method is that it not only provides a vascular bridge with a lumen equal to the distal thoracic aorta, but also assures normal growth potential.