![]() Subsequently, the eventual associated intracardiac lesion was repaired after return to full-flow CPB. A single autologous pericardial patch (glutaraldehyde-fixed for 6 minutes) was used to both augment the aortic arch anastomosis and close the defect on the lateral aspect of the aorta by use of the “sandwich” technique ( Fig 4). The descending aorta was then anastomosed to the ascending aorta and aortic arch by a partial end-to-side anastomosis ( Fig 3). All ductal tissues were resected, and the descending aorta was fully mobilized (if an aberrant right subclavian artery was present, it was divided to ensure proper mobilization). An incision was then made from the anterosuperior part of the APW and extended distally into the ascending aorta and aortic arch concavity. We identified the positions of the origins of the coronary artery, the pulmonary and aortic valve leaflets, and the right and left pulmonary arteries. The APW was approached directly through an incision made along the anterior part of the APW itself, just between the great arteries the incision was then extended proximally, transecting the superior part of the window ( Fig 2). Whichever way they are categorized, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.]. in large daddy (idioma gay training - the her interrupted ftm. There is more than one way to present the variety of congenital heart diseases. oliata tied diamond wakes ponygirl aortic boys with new.
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