Twenty-three years of single-stage end-to-side anastomosis repair of interrupted aortic arches

Abstract

Objective: This study defined long-term results of a policy of single-stage repair of interrupted aortic arch with end-to-side anastomosis. Methods: Records of 112 consecutive patients undergoing interrupted aortic arch repair between 1985 and 2007 were reviewed. Single-stage repair was performed in 95 patients, with 90 having end-to-side repair. Results: There were 11 in-hospital deaths (10%). Twelve patients needed arch reintervention during the same hospital stay: 7 for residual arch obstruction and 5 for left main bronchus obstruction. Nine patients were unavailable for follow-up. After a mean of 10 ± 7 years, 6 late deaths occurred, for 18-year survival of 92% (95% confidence interval [..