Abstract

Complete interruption of the aortic arch (IAA) and ventricular septal defect (VSD) is a relatively uncommon lesion, fortunately so because of its lethal nature. It almost always causes severe congestive heart failure early in neonatal life and in spite of medical and surgical efforts continues to have a high mortality. IAA accounts for approximately 1% of critical congenital heart disease. Collins-Nakai, et al[1] reported an incidence of 1.3% in the New England Regional Infant Cardiac Program between 1968 and 1974. Van Praaght[2] noted that IAA accounted for 4% of deaths in neonates with congenital heart disease. This was an incidence of 1.4% of autopsy cases of all children with congenital heart disease. The mean survival time was 10 days.

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