| Autor: |
Wukasch DC, Cooley DA, Sandiford FM, Nappi G, Reul GJ Jr |
| Jazyk: |
angličtina |
| Zdroj: |
The Annals of thoracic surgery [Ann Thorac Surg] 1977 May; Vol. 23 (5), pp. 442-8. |
| DOI: |
10.1016/s0003-4975(10)64164-1 |
| Abstrakt: |
Use of the supraceliac segment of the abdominal aorta for ascending aorta-abdominal aorta bypass (AAAAB) offers a new technique for management of certain difficult surgical problems. Since 1973, we have performed AAAAB in 12 patients: 4 with recurrent coarctation of the thoracic aorta; 4 with coarctation of the thoracic aorta and associated cardiac lesions requiring a concomitant intracardiac procedure; 2 with recurrent aortoiliac occlusive disease (AIOD); 1 with interruption of the aortic arch requiring concomitant pulmonary artery banding; and 1 with coarctation of the abdominal aorta. In 3 of these patients (2 with recurrent AIOD and 1 with coarctation of the abdominal aorta) the distal anastomosis was made to the distal abdominal aorta or femoral arteries. Ten patients (83.3%) experienced satisfactory results; 2 patients (16.6%) died. The technique of AAAAB provides a practical solution to complex situations in which previous procedures preclude a standard operative approach, or when necessary concomitant procedures would otherwise require a two-stage operation. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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