Anterior translocation of the right pulmonary artery for relief of airway compression in the repair of distal aortopulmonary window and interrupted aortic arch

Ann Thorac Surg. 2012 Jun;93(6):e159-61. doi: 10.1016/j.athoracsur.2011.12.027.


Airway compression by dilated right pulmonary artery (RPA) in infants with congenital heart disease can cause severe respiratory insufficiency and increase postoperative morbidity. Anterior aortopexy can be a good solution. However, in a case in which aortic arch repair is required, anterior aortopexy might not be effective or can be dangerous. Anterior translocation of the RPA can be a good option to avoid postoperative airway obstruction. We adopted this technique in a one-stage complete repair of distal aortopulmonary window, aortic origin of the RPA, interrupted aortic arch, and ventricular septal defect in a neonate with compression of both main bronchi. After 37 months of follow-up, no problem was encountered with her airway or RPA. We describe the technique used and the results obtained.

Publication types

  • Case Reports

MeSH terms

  • Airway Obstruction / etiology
  • Airway Obstruction / surgery*
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / surgery
  • Aortic Coarctation / diagnosis
  • Aortic Coarctation / surgery*
  • Aortopulmonary Septal Defect / diagnosis
  • Aortopulmonary Septal Defect / surgery*
  • Bronchial Diseases / diagnosis
  • Bronchial Diseases / surgery*
  • Cardiopulmonary Bypass
  • Echocardiography
  • Female
  • Heart Septal Defects, Ventricular / diagnosis
  • Heart Septal Defects, Ventricular / surgery
  • Humans
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional
  • Infant, Newborn
  • Postoperative Complications / diagnosis
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / surgery*
  • Tomography, X-Ray Computed
  • Truncus Arteriosus, Persistent / diagnosis
  • Truncus Arteriosus, Persistent / surgery*