Yasui Procedure with Aberrant Right Subclavian Artery Patch for Interrupted Aortic Arch (Type B).
Vivek Bagaria, Arul Narayanan, Michael Bowes et al.
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Case in brief
Two infants with interrupted aortic arch type B and hypoplastic left ventricular outflow tract underwent a staged Yasui procedure. A free aberrant right subclavian artery patch was used to reconstruct the posterior aortic arch wall, replacing the traditional pedicled flap approach. Postoperative imaging showed a smooth arch anatomy without complications, indicating successful reconstruction.
What made this case unusual
The use of a free aberrant right subclavian artery patch for posterior aortic arch reconstruction is notable, as it offers greater surgical flexibility compared to conventional pedicled flap techniques.
Diagnostic / clinical pearl
Clinicians should consider the use of a free aberrant right subclavian artery patch in complex aortic arch reconstructions to optimize anatomical outcomes and surgical flexibility.
Why it matters
This case highlights an innovative approach to aortic arch reconstruction that may improve midterm outcomes and facilitate future surgical interventions.