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Ascending Aortic Transection: Useful Adjunct in Pulmonary Artery Reconstruction

Department of Cardiac Surgery, Dr. KM Cherian Heart Foundation, International Center for Cardiovascular and Thoracic Diseases, Frontier Lifeline Hospital, Chennai, India

For reprint information contact: Kotturathu M Cherian, FRACS, Tel: 91 44 4201 7575, Fax: 91 44 2656 5150, Email: drkmc{at}airtelbroadband.in, International Center for Cardiovascular and Thoracic Diseases, Frontier Lifeline Hospital, R-30-C, Ambattur Industrial Estate Road, Mogappair, Chennai 600 101, India.

Pulmonary artery reconstruction is frequently needed during surgery for congenital heart disease. Exposure of the main pulmonary artery and its branches is difficult if they are hypoplastic with a large anteriorly placed aorta. In redo operations, adhesions make this not only technically difficult, but also prone to bleeding. We electively transected the ascending aorta in 36 patients to facilitate pulmonary artery exposure, without complications or significant prolongation of cross clamp time.