Selection of a Surgical Treatment Approach for Aortic Coarctation in Adolescents and Adults

Nakamura, Eisaku; Nakamura, Kunihide; Furukawa, Koji; Ishii, Hirohito; Kawagoe, Katsuya

doi:10.5761/atcs.oa.17-00167

Cited by 6 publications

(10 citation statements)

References 24 publications

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“…In general, three types of surgery are available. They consist of: a) resection of the diseased aortic part and simple end-to-end suture; b) resection of CoA and its replacement with a tubular graft and c) extra-anatomical bypass [4]. Resection with the end-to-end anastomosis is more suitable in infant patients because of absence of a no-growing graft and higher mobility and elasticity of tissues as well [4].…”

Section: Discussionmentioning

confidence: 99%

“…They consist of: a) resection of the diseased aortic part and simple end-to-end suture; b) resection of CoA and its replacement with a tubular graft and c) extra-anatomical bypass [4]. Resection with the end-to-end anastomosis is more suitable in infant patients because of absence of a no-growing graft and higher mobility and elasticity of tissues as well [4]. Extra-anatomical bypass has more benefits for patients with CoA recurrence without aneurysm formation because of adhesions after a previous surgery [4].…”

Section: Discussionmentioning

confidence: 99%

“…Resection with the end-to-end anastomosis is more suitable in infant patients because of absence of a no-growing graft and higher mobility and elasticity of tissues as well [4]. Extra-anatomical bypass has more benefits for patients with CoA recurrence without aneurysm formation because of adhesions after a previous surgery [4]. Resection of CoA with graft replacement is indicated for more extensive and severe stenotic CoA and CoA combined with aneurysmal formation.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors use full CPB with hypothermic circulatory arrest, Gott’s passive shunt or intraluminal shunt [4, 5]. Partial CPB appears as a convenient and practical method for this type of surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…All three patients underwent a CoA resection with tubular replacement through posterolateral thoracotomy. One patient underwent a concomitant aortic valve replacement via median sternotomy and total CPB [4].…”

Section: Discussionmentioning

confidence: 99%

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Right aortic arch with an aberrant left subclavian artery and aortic coarctation including a descending aortic aneurysm

Sabol¹,

Candik

Kolesár³

et al. 2019

J Cardiothorac Surg

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Backround The right aortic arch and aortic coarctation are rare congenital anomalies with the incidence of 0.1% and 0.03–0.04%. We present a case report of a 51-year-old woman with the right aortic arch with aberrant left subclavian artery and coarctation of the aorta with post-stenotic aneurysm. Case presentation Resection of the coarctation and aneurysm with replacement by tubular prosthesis was performed on partial cardiopulmonary bypass via femoral vessels. Conclusion Partial cardiopulmonary bypass is an applicable method for ensuring the perfusion of the distal part of the body and an aberrant left subclavian artery is not a contraindication of this technique.

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Section: Discussionmentioning

confidence: 99%