Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach
| Autor: | Mert Yilmaz, Bulent Polat, Davit Saba |
|---|---|
| Přispěvatelé: | Uludağ Üniversitesi/Tıp Fakültesi/Kalp Damar Cerrahisi Anabilim Dalı., Yılmaz, Mert, Saba, Davit |
| Rok vydání: | 2006 |
| Předmět: |
Heart Septal Defects
Ventricular Male Cardiac & cardiovascular systems medicine.medical_treatment Bentall procedure Heart Valve Diseases Case Report Coronary Artery Disease Coronary artery disease General Medicine Annuloaortic ectasia Middle Aged Descending aorta cardiovascular system Deep hypothermic circulatory arrest Cardiology medicine.symptom Cardiology and Cardiovascular Medicine Aortic Coarctation Thoracic Aorta Balloon Angioplasty Vascular Surgical Procedures Human Adult Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent lcsh:Surgery Coarctation of the aorta Aorta coarctation Article lcsh:RD78.3-87.3 Internal medicine medicine.artery medicine Humans Cardiac Surgical Procedures Aorta business.industry Heart septum defect lcsh:RD1-811 medicine.disease Valvular heart disease Heart surgery Surgery Vascular surgery Cardiovascular system & cardiology lcsh:Anesthesiology Median sternotomy business |
| Zdroj: | Journal of Cardiothoracic Surgery Journal of Cardiothoracic Surgery, Vol 1, Iss 1, p 18 (2006) |
| ISSN: | 1749-8090 |
| DOI: | 10.1186/1749-8090-1-18 |
| Popis: | Background Coarctation of the aorta in the adulthood is sometimes associated with additional cardiovascular pathologies that require intervention. Ideal approach in such patients is uncertain. Anatomic left-sided short aortic bypass from the arcus aorta to descending aorta via median sternotomy allows simultaneuos repair of both complex aortic coarctation and concomitant cardiac operation. Materials Four adult patients were underwent Anatomic left-sided short aortic bypass operation for complex aortic coarctation through median sternotomy using deep hypothermic circulatory arrest. Concomitant cardiac operations were Bentall procedure for annuloaortic ectasia in one patient, coronary artery bypass grafting for three vessel disease in two patient, and patch closure of ventricular septal defect in one patient. Results All patients survived the operation and were alive with patent bypass at a mean follow-up of 36 months. No graft-related complications occurred, and there were no instances of stroke or paraplegia. Conclusion We conclude that single-stage repair of adult aortic coarctation with concomitant cardiovascular lesions can be performed safely using this newest technique. |
| Databáze: | OpenAIRE |
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