Aim: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch.
Material And Methods: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2.
The experience of the federal medical center of the surgical treatment of small patients with the anomalous origin of the left coronary artery from the pulmonary trunk was analyzed. The early surgical treatment, directed at the reconstruction of the two sources of myocardial blood supply together with the standard use of "calcium sensitizer" ("Levosimendan") decrease the lethality to 6.6% without the use of extracorporeal membrane oxygenation.
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