Yasui's surgery in type C aortic arch interruption.

Abstract

We present the case of a nursing girl under 9 months of age with an interrupted aortic arch (classification C), severe subaortic stenosis, ventricular septal defect perimembranous, and anomalous origin of both subclavian arteries arising from the descending aorta, good biventricular systolic function. She has a history of hybrid Norwood procedure and ductal stent placement at one and a half months of age. She is  scheduled for Yasui cardiac surgery with extracorporeal circulation where it is sought to create a conduit from the right ventricle to the pulmonary artery. Arterial cannulation is through a right carotid graft. Pulmonary artery cannulation is also performed to perfuse the lower hemibody.Takes to moderate hypothermia at 28ºC to reconstruct the aortic arch with antegrade cerebral perfusion was performed for 97 minutes. Release cerclage on the pulmonary arteries, remove the ductal stent, reconstruct pulmonary artery trunk and from aortic root,  finally close the  ventricular septal defects. The postoperative outcome was optimal, with no evident cardiac or neurological complications associated with the extracorporeal circulation time and prolonged antegrade cerebral perfusion.