Arch reconstruction after a previous ascending-to-descending aortic bypass for coarctation of the aorta

Cabasa, Alduz S.; Bower, Thomas C.; Pochettino, Alberto

doi:10.1016/j.jtcvs.2016.01.027

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Cabasa et al described the case of arch reconstruction performed through a trapdoor incision after a previous ascending-to-descending aortic bypass. [ 15 ] However, in this case, standard cannulation via the aorta and right atrium was able to be performed. In a case by Rekik et al, urgent reoperation with a Bentall procedure and aortic valve replacement was performed 30 days following the ascending-to-descending aortic bypass grafting due to a pseudoaneurysm at the proximal anastomosis.…”

Section: Discussionmentioning

confidence: 98%

Reoperative approach after extra-anatomic ascending-to-descending aortic bypass graft

Zhou,

Patel,

Robich

2024

J Cardiothorac Surg

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Background Extra-anatomic ascending-to-descending aortic bypass grafts have historically been utilized as a safe and effective solution for repairs of complex coarctation of the aorta. However, reports on reoperation in these patients remain rare. We present a case of an aortic valve replacement and coronary artery bypass grafting in a patient with an extra-anatomic ascending-to-descending aortic bypass graft. Case presentation The patient is a 59-year-old male with a complex aortic history, including repair of aortic coarctation with an ascending-to-descending aortic bypass graft 13 years prior, was admitted to the hospital for shortness of breath and chest pain that had developed over the past year. On further workup, he was found to have severe bileaflet aortic valve stenosis, non-ST elevation myocardial infarction, and moderate coronary artery disease. He underwent surgical aortic valve replacement and coronary artery bypass grafting. Given his unique anatomy, cardiopulmonary bypass approach involved separate cannulation of the right axillary and left common femoral arteries with cross-clamp of both the aorta and the extra-anatomic graft. Using this approach, the redo operation was successfully performed. Conclusions Reports on reoperation after ascending-to-descending aortic bypass grafting are rare. We describe our approach to cardiopulmonary bypass and reoperation in a patient with an extra-anatomic ascending-to-descending aortic bypass graft.

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Section: Discussionmentioning

confidence: 98%

Reoperative approach after extra-anatomic ascending-to-descending aortic bypass graft

Zhou,

Patel,

Robich

2024

J Cardiothorac Surg

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“…When they reach a threshold where reintervention is indicated, they do well with repair when performed at a high-volume aortic center. Cabasa and colleagues 3 describe an excellent outcome in a 47-yearold patient after a third-time operation at their highvolume tertiary center, with experience caring for complex thoracic aortic disease, 36 years after his last operation.…”

Section: Eric E Roselli MDmentioning

confidence: 99%

If the shoe fits, choose it: Tailored strategy for postcoarctation complications

Roselli

2016

The Journal of Thoracic and Cardiovascular Surgery

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Management of Coarctation and Aortic Arch Anomalies in the Adult

Saran

Pochettino

2021

Seminars in Thoracic and Cardiovascular Surgery

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Arch reconstruction after a previous ascending-to-descending aortic bypass for coarctation of the aorta

Abstract: CT image showing the previous graft that was taken down and the reconstructed arch. Central MessageArch reconstruction after a previous aortic repair is challenging but can be done safely and with good early outcome.

Cited by 3 publications

References 6 publications

Reoperative approach after extra-anatomic ascending-to-descending aortic bypass graft

Reoperative approach after extra-anatomic ascending-to-descending aortic bypass graft

If the shoe fits, choose it: Tailored strategy for postcoarctation complications

Management of Coarctation and Aortic Arch Anomalies in the Adult

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