Aortic arch advancement: the optimal one-stage approach for surgical management of neonatal coarctation with arch hypoplasia

Elgamal, Mohamed; McKenzie, E. Dean; Fraser, Charles D.

doi:10.1016/s0003-4975(01)03622-0

Cited by 71 publications

(45 citation statements)

References 21 publications

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“…However, both techniques preserve the structure of the hypoplastic aortic arch, which may result in limited growth or retraction of the area around the anastomosis, causing recoarctation [12], or which may permanently sacrifice the left subclavian artery with the consequent growth deficit in the superior left limb and the consequences that this may cause [13]. Other authors prefer to treat this anomaly as an interruption of the aortic arch, using sternotomy, cardiopulmonary bypass and deep hypothermia [8]. In our view, this procedure is not necessary, except in the case of associated intracardiac abnormality, which may require single stage correction.…”

Section: Discussionmentioning

confidence: 99%

“…Recent progress in neonatal intensive care and in twodimensional Echo-Doppler techniques have allowed for the correction of complex intracardiac malformations associated with aortic arch abnormalities in a single stage, and with satisfactory results [6][7][8]. In these cases, aortic coarctation is surgically approached as an interruption of the aortic arch, whether associated with arch hypoplasia or not, and surgeons use cardiopulmonary bypass with deep hypothermia and circulatory arrest.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Modificação técnica para correção de coarctação aórtica com hipoplasia do arco aórtico

Caliani¹,

Simöes²,

Barbosa³

2008

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modificação técnica para correção de coarctação aórtica com hipoplasia do arco aórtico

Caliani¹,

Simöes²,

Barbosa³

2008

Rev Bras Cir Cardiovasc

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“…1,2 In adults, resection of the coarctation and reconstruction of the aorta using an artificial graft is a good alternative. Recently, endovascular repair has been applied for CoA in adults; however, long-term follow-up of more than 10 years is not available yet.…”

Section: Introductionmentioning

confidence: 99%

Total arch replacement for coarctation of the aorta in an adolescent

Kasama

Suzuki

Isomatsu

et al. 2014

Asian Cardiovasc Thorac Ann

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A 16-year-old boy suffered a subarachnoid hemorrhage and underwent open head surgery. He was subsequently diagnosed with coarctation of the aorta and referred to our hospital. The coarctation was at the distal transverse arch, just at the site of branching of the subclavian artery. Total arch replacement with selective cerebral perfusion was selected because of the short hypoplastic arch. The patient had an uneventful postoperative course, and was doing well 3 years after the surgery.

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“…Surgery is now invariably by an end-to-end anastomosis after excision of the coarctation segment and in neonates and infants is often extended to address coexistent aortic arch hypoplasia 2. While surgery was evolving, catheter intervention also developed and beyond the first 6–12 months of age became routine treatment in many (though not all) centres 3.…”

mentioning

confidence: 99%