#INTERRUPTED AORTIC ARCH PATCH#

Without the procedure, there is no chance of survival. There are significant risks related to the surgery, but the outlook is generally good. This helps keep the baby alive until the procedure can be performed. Is any special preparation needed?īefore the surgery, the baby is given medication called prostaglandin E1 to keep the patent ductus arteriosus open. The Heart Institute team will explain the procedures to you in detail. Surgery varies depending on the child’s heart anatomy more than one surgery may be required.

#INTERRUPTED AORTIC ARCH PATCH#

As the child grows, heart tissue will grow over the patch and the stitches. The cardiac surgeons will make the aorta into a continuous vessel by attaching the top part of the aortic arch and the lower part of the aorta together. Surgery will occur as soon as possible, once your baby is stabilized. After it closes, an infant with interruption of the aortic arch will quickly become very sick without medical intervention. This vessel exists in the fetus, but closes within hours or days of birth. The ductus arteriosus is an alternate route for oxygenated blood to reach the lower body. Arteries that deliver blood to the abdomen, legs, and other parts of the lower body branch off from the lower, descending aorta.Ī newborn can survive with a disconnection in the aorta as long as a blood vessel called the ductus arteriosus remains open. Arteries that deliver blood to the head, arms and other parts of the upper body branch off at the top of the arch. In a child with IAA, there is a disconnection between the top part of the aortic arch and the lower, descending aorta. The aorta is the main artery that carries blood with oxygen out of the heart to the body. IAA is a heart defect in which the aorta is incomplete. Interrupted aortic arch repair is a surgical procedure to fix interrupted aortic arch (IAA). Abbrevations: IAA ( Interrupted aortic arch), 22q11.2del ( 22q11.Also known as: IAA surgery. Of 22q11.2del is associated with hospital complications. The co-occurrence of extracardiac congenitalĪnomalies and non-22q11.2del genetic conditions elevates mortality risk. With increased mortality after IAA repair. In conclusion, presence of complex cardiac lesions is associated IAA and 22q11.2del were at higher risk of gastrostomy tube placement (aRR 2.42, 95%ĬI 1.20 to 4.88). Gastrostomy tube placement (aRR 3.18, 95% CI 2.13 to 4.74), and infants with complex IAA and 22q11.2del were at higher risk of sepsis (aRR 1.63, 95% CI 1.02 to 2.39) and Compared with their nonsyndromic counterparts, infants with simple In the complex group, factors associated with mortality were male Mortality in the simple group were low birth weight (adjusted risk ratio 3.77,ĩ5% confidence interval 1.83 to 7.77), non-22q11.2del genetic conditions In 1,283 infants included (904 simple, 379 complex), mortality

WeĮvaluated factors associated with hospital mortality and complications related toĢ2q11.2 deletion syndrome (22q11.2del) using mixed logistic regression, accountingįor hospital clustering. Wherever the disconnection occurs, the passage of oxygenated blood to the lower body is compromised, or literally interrupted. We classified patients as simple or complex based on associated heart defects. System database to identify infants with IAA who underwent repair during 2004 to 2019. We analyzed the Pediatric Health Information Infants with interrupted aortic arch (IAA). There is a lack of current, multi-institutional data regarding hospital outcomes of