Aortic Arch Reconstruction in the Norwood Procedure: The “Reimplantation” Technique

Arch reconstruction as part of the Norwood Procedure is a challenging 3-dimensional task that has to combine the aortic and pulmonary roots in a Damus-Kaye-Stansel anastomosis and also reconstruct the hypoplastic aortic arch, usually with concomitant coarctation. Compression or torsion of the aortic root can compromise coronary blood flow, especially in the setting of a diminutive native aortic root. This technique focuses on maximum augmentation of the aortic root with separate implantation of the pulmonary root into the reconstructed aortic arch – this maintains the natural spatial relationship of the aortic and pulmonary roots.

Source: Operative Techniques in Cardiac and Thoracic Surgery - September 16, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David J Barron, Abeeshan Selvabaskaran, Shi-Joon Yoo, Kok Hooi Yap, William J Brawn Tags: Congenital Source Type: research