Chimney technique for aortic arch repair in the Norwood operation

Aortic arch repair is an important technical element in the Norwood operation for hypoplastic left heart syndrome that could adversely affect long-term results. Therefore, there are many controversies surrounding this procedure. We developed an alternative chimney technique for aortic arch repair without any supplemental materials. Both pulmonary branch orifices were resected en bloc from the posterior wall of the pulmonary trunk. The pulmonary defect was closed by longitudinal direct anastomosis.

Source: Operative Techniques in Cardiac and Thoracic Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Masaaki Yamagishi Source Type: research