Yasui procedure for an interrupted aortic arch type C with an aberrant right subclavian artery from the pulmonary artery: right subclavian artery-free graft technique

A male neonate (2.5 kg) who presented with an interrupted aortic arch type C, hypoplasia of the aortic valve and left ventricular outflow tract obstruction received bilateral pulmonary artery bands as a first step of a hybrid interim palliation. Due to an intimal tissue flap at the origin of the left common carotid artery and a high-risk situation for PDA stenting, a complete early correction was undertaken. For full correction, the large curvature of the aortic arch was reconstructed using the aberrant right subclavian artery as a free graft by implanting it between the right and left common carotid arteries. The left common carotid artery was shortened, and an intimal tissue flap at the origin of the vessel was removed. A Damus-Kaye-Stansel anastomosis was created, and the ventricular septal defect was closed through a right ventricular incision. Right ventricular-to-pulmonary artery continuity was established with a Contegra bovine jugular vein conduit.