Coarctation of the aorta

Wide Dissection and Intercostal Vessel Division Allows for Repair of Hypoplastic Aortic Arch Through Thoracotomy

“…This disagrees with previous reports of presence of paraplegia when ligation and division of more than one or two pairs of intercostal vessels is carried out. 4 Additionally, previous reports to prevent paraplegia recommended the use of hypothermia, and all our patients were operated under normothermia with no cases of paraplegia.…”

“…In fact, Amato et al recommended that to prevent paraplegia, ligation of intercostal vessels should be avoided, or if necessary no more than one to two pairs should be divided. 4 In recent publications, several definitions of HAA can be found. Some describe HAA as the size of the arch in millimeters less than the patient's weight in kilograms plus one, aortic arch diameter Z score less than À2.0, and the ratio of the diameter of the transverse arch to the descending aorta <50%.…”

“…In fact, Amato et al recommended that to prevent paraplegia, ligation of intercostal vessels should be avoided, or if necessary no more than one to two pairs should be divided. 4…”

Transverse Aortic Arch to Descending Aorta Ratio: A New Echocardiographic Parameter for Management of Coarctation of the Aorta in the Infant

“…For all infants in this sample, repair of CoA through a left thoracotomy was conducted in the usual manner for resection and extended end‐to‐end anastomosis 5 . The transverse arch and all its branches were fully mobilized throughout their length.…”

Ascending-to-descending aortic bypass via right thoracotomy for complex (re-) coarctation and hypoplastic aortic arch☆

“…Additionally, there is definite evidence of an annually growing population of such patients [1,2]. This circumstance is linked with: † an increase in the number of infants operated on according to the life-threatening conditions, in the presence of a small aortic diameter, † an extensive introduction into clinical practice of the noninvasive and mini-invasive research modalities (transesophageal and transthoracic echocardiography, computed tomography, MRI, digital subtraction angiography), † inadequacy of surgical intervention due to technical errors, † uncorrected hypoplasia of the aortic arch, the frequency of which, according to the reported data, reaches 65%.…”