In simple words: This surgery fixes a problem with the aorta, the main artery from the heart. Sometimes, this artery isn't fully developed or has a break in it near the heart. The surgeon opens the chest, fixes the artery by connecting the separated parts, and then closes the chest.The fix might involve using a piece of the patient's own tissue or a man-made material.This is a complex heart surgery, but it's done without using a heart-lung machine.

This procedure involves the surgical repair of an underdeveloped (hypoplastic) or disrupted aortic arch. The surgeon accesses the aortic arch through an incision in the chest, often a sternotomy.The affected section of the aorta is incised, and the hypoplastic or interrupted segments are reconnected. This can be achieved using either the patient's own tissue (autogenous graft) or a synthetic material (prosthetic graft). The incision is then closed, and drainage tubes may be placed. This procedure is performed without the use of a heart-lung machine (cardiopulmonary bypass).

Example 1: A newborn is diagnosed with an interrupted aortic arch, a congenital heart defect where the aorta is not continuous. The surgeon performs a repair without cardiopulmonary bypass to reconnect the segments of the aorta., A child with a hypoplastic aortic arch, meaning the arch is underdeveloped and restricts blood flow, undergoes surgical repair using an autogenous graft. The procedure is performed without cardiopulmonary bypass., An adult with a traumatic injury resulting in a disrupted aortic arch requires surgical intervention. The surgeon repairs the aorta using a prosthetic graft without employing cardiopulmonary bypass.

Documentation should include operative reports detailing the surgical technique, type of graft used (autogenous or prosthetic), pre- and post-operative diagnoses, and any complications encountered. Imaging studies (e.g., echocardiogram, CT scan) confirming the diagnosis are also essential.