Type A interrupted aortic arch with Taussig-Bing anomaly: An unusual indication for staged repair

Abstract

Complex transposition of great arteries (TGA) is when additional cono-truncal anomalies coexist with a TGA. Notable reasons for staged repair include the need to the need to adapt the left ventricle to the systemic high pressures. We report a case of staged repair of Type A Interrupted aortic arch with Taussig-Bing anomaly in a one month old male. Single stage repair could not be done for this patient because of technical difficulties, positive preoperative blood culture and associated airway problem. Patient had a successful two stage surgery involving an initial extended end-to-end anastomosis, PDA ligation with PA Banding and a delayed arterial switch operation done two months later.

KEY WORDS: Interrupted aortic arch, arterial switch operation, Taussig-Bing Anomaly, Transposition of Great arteries.