A neonate presented with an interrupted aortic arch type B and VSD with dysplastic
aortic valve, subaortic Stenosis, and aberrant right subclavian artery. We performed
a direct anastomosis between the hypoplastic ascending aorta (ø 3 mm), the main pulmonary
artery and the descending aorta, mimicking a Norwood-type ventricular outlet. The
right-ventricular outflow tract was reconstructed with a 8 mm PTFE vascular graft.
This combination of a modified Norwood with a Rastelli procedure facilitated establishment
of a sufficiently large left-ventricular outflow tract via VSD, at the same time maintaining
a biventricular System despite the coexisting anomalies.
Interrupted aortic arch - Norwood-procedure - Rastelli-procedure - Newborn - Subaortic
Stenosis - Congenital heart disease
