Aortic coarctation with hypoplastic aortic arch

Surgical management of transposition in the setting of obstruction within the aortic arch

“…In those reports that have been published, the mortality with the traditional two-stage approach was high. 1,[27][28][29] Several factors may have contributed to these discouraging results. The frequent association of tubular hypoplasia of the aortic arch in patients with coarctation and complex congenital heart disease has only recently been recognized.…”

Coartação de aorta em crianças até um ano: análise de 20 anos de experiência

“…The results published in the literature with the extended termino-terminal technique, in a total of 648 patients less than 3 months, in 6 different papers 8,9,28,30,35,36 , show an incidence of 9.1% of recoarctation. From those, 332 were under a month of age, with an incidence of recoarctation of 9.3%.…”

“…In the same way, in the age range between 31 and 90 days, the incidence of recoarctation of 32%, although high, is similar to those found in other publications 8,19,23 . Currently it has been emphasized that the most efficient surgical technique to relieve the obstruction is the extended termino-terminal [7][8][9][28][29][30][31][32][33] . Such procedure does not have the disadvantages of other repair techniques, such as classic termino-terminal 32 , Waldhausen 20 or isthmusplasty operation with graft 33 .…”

Management of Complete Atrioventricular Canal Defect With Aortic Arch Obstruction

“…The disadvantages are the greater tension at the anastomosis and the possibility of leaving a relative obstruction at the proximal end. 17,[37][38][39][40] The main advantages of using a patch plasty are the optimal enlargement of the aortic arch and proximal aorta, regardless of the original diameter of the aorta, and the tension-free anastomosis and low incidence of recoarctation. 17 If PAB is considered, it is placed either during weaning from bypass or off-pump.…”