Repair of coarctation of the thoracic aorta by patch graft aortoplasty

Reul, George J.; Kabbani, Sami S.; Sandiford, Frank M.; Wukasch, Don C.; Cooley, Denton A.

doi:10.1016/s0022-5223(19)41631-0

Cited by 80 publications

(9 citation statements)

References 16 publications

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“…The patch aortoplasty group has a slightly lower hospital mortality in the present series than the other CoA patients and also a lower incidence of postoperative bleeding. The method obviously offers technical advantages at the primary operation as has been postulated by others (17,24).…”

Section: Discussionmentioning

confidence: 71%

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Late Aneurysms after Patch Aortoplasty for Coarctation of the Aorta in Adults

Ala-Kulju¹,

Järvinen²,

Maamies³

et al. 1983

Thorac cardiovasc Surg

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Sixty-eight patch aortoplasties were performed for coarctation of the aorta (CoA) in adult patients from 1967 to 1978 in our hospital. The mortality was 1.5% and the immediate result of the surgical repair seemed good. Long-term follow-up of 2 to 14 years later revealed aneurysm formation at the repair area in 27% of the 62 patients for whom sufficient follow-up data are available. Two aneurysms had ruptured with a fatal outcome. Other repair methods used for coarctation in 106 patients were free from aneurysm complication. Thirteen patients with an aneurysm underwent reoperation without mortality. The etiology of these unexpected aneurysms is discussed.

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Section: Discussionmentioning

confidence: 71%

“…He also used an aorto plasty without a patch graft for short CoAs. The obvious technical advantages of patch aort oplasty include (5,17,24,25) :…”

mentioning

confidence: 99%

Late Aneurysms after Patch Aortoplasty for Coarctation of the Aorta in Adults

Ala-Kulju¹,

Järvinen²,

Maamies³

et al. 1983

Thorac cardiovasc Surg

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“…The technique of patch angioplasty has several advantages over the conventional techniques. This procedure was first described by Vosschulte in 19613 and was later popularised by Moor et a14 and Reul et al 5 We have carried on this procedure in 14 patients during the last three years and there have been no recurrences. Even in adults with calcified deposits in the coarctated segment and with large thin-walled collaterals, the technique is applicable.…”

Section: Discussionmentioning

confidence: 91%

Experience with the surgical treatment of coarctation of the aorta in India.

Perianayagam¹,

Muralidharan²,

Jairaj³

et al. 1980

Thorax

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Between 1961 and 1977, 51 patients underwent operations for coarctation of the aorta. The average age of presentation of these cases was higher than in other series. Only three were asymptomatic, a finding which is not seen in reports from the West. Operative procedures included resection and graft interposition, resection and end-to-end anastomosis, and bypass grafting. However, the technique of patch angioplasty, routinely performed in the last three years of this review, seemed by far the most satisfactory procedure. The overall operative mortality was 9.8%. Hypertension did not regress in some cases in spite of a successful operation. Recoarctation was not seen in this series. Associated defects influenced results adversely. The overall results of operation for coarctation of the aorta have been very satisfactory and comparable with those in other recorded series.

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“…Various surgical techniques have been developed for the treatment of aortic arch hypoplasia in patients with aortic coarctation and combined cardiac lesions over the K Autologous aortic arch reconstruction in isolated and combined cardiac lesions original article years. These include resection and end-to-end anastomosis [1,2], subclavian flap technique [3], as well as various forms of patch augmentation [4,5]. The latter are limited because they are predisposed to inadequate relief of obstruction and to aneurysm formation.…”

Section: Introductionmentioning

confidence: 99%

Autologous aortic arch reconstruction in isolated and combined cardiac lesions

et al. 2019

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Objectives Various surgical strategies have been reported for the treatment of aortic coarctation with hypoplastic aortic arch, including simple resection and end-to-end anastomosis as well as various forms of patch augmentation. These techniques are limited by inadequate relief of arch obstruction and use of patch material predisposed to recurrent obstruction or aneurysm formation. We report our experience with autologous aortic arch reconstruction in isolated and combined lesions, a technique that relieves even complex forms of arch reconstruction without patch material. Methods We retrospectively analyzed our institutional experience with autologous aortic arch reconstruction in isolated and combined cardiac lesions from

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Repair of coarctation of the thoracic aorta by patch graft aortoplasty

Cited by 80 publications

References 16 publications

Late Aneurysms after Patch Aortoplasty for Coarctation of the Aorta in Adults

Late Aneurysms after Patch Aortoplasty for Coarctation of the Aorta in Adults

Experience with the surgical treatment of coarctation of the aorta in India.

Autologous aortic arch reconstruction in isolated and combined cardiac lesions

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