Ascending Aorta-Abdominal Aorta Bypass: Indications, Technique, and Report of 12 Patients
| Autor: | George J. Reul, Denton A. Cooley, Don C. Wukasch, Frank M. Sandiford, Gianantonio Nappi |
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| Rok vydání: | 1977 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Aortic arch medicine.medical_specialty Adolescent Aortoiliac occlusive disease Aortic Coarctation Pulmonary artery banding medicine.artery Ascending aorta Myocardial Revascularization medicine Humans Thoracic aorta Aorta Abdominal Child Aorta business.industry Abdominal aorta Infant Newborn Middle Aged medicine.disease Blood Vessel Prosthesis Surgery cardiovascular system Female Radiology Cardiology and Cardiovascular Medicine business Abdominal surgery |
| Zdroj: | The Annals of Thoracic Surgery. 23:442-448 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)64164-1 |
| Popis: | 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: | OpenAIRE |
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