Extraanatomic thoracic aortic bypass grafts: indications, techniques, and results1

Heinemann, Markus K.; Ziemer, Gerhard; Wahlers, T; Köhler, Axel; Borst, H. G.

doi:10.1016/s1010-7940(96)01018-4

Cited by 64 publications

(51 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[3][4][5][6][7][8] In order to avoid complications such as pseudoan eurysm formation and stenosis around the anastom osis site, we chose the ascending aorta as a proximal anastomosis site because it was far from the inflam matory lesion and there was no calcification in the ascending aorta in the preoperative MDCTs, and this resulted in the ability to avoid a left thoracotomy, which can cause excessive bleeding from the rich col lateral arteries in the thoracic wall. This approach also enabled us to perform coronary artery bypass grafting for a coincident coronary lesion.…”

Section: Discussionmentioning

confidence: 99%

“…In the previous reports, the ascending or thoracic descending aorta were chosen for the proximal anas tomosis site, and the routes of prosthetic grafts were the right or left thoracic cavity to the retroperitoneal cavity or abdominal cavity. [3][4][5][6][7][8] These routes may cause complications associated with the anastomotic site related to inflammation, excessive bleeding from the rich collateral vessels and graft contact with intestines, thus leading to adhesion formation. 9) In this series, we successfully performed extraanatomical bypass for coarctation of the descending aorta with a median sternotomy and retroperitoneal approach.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy

Terada

Yuasa

Hasegawa

et al. 2014

Annals of Vascular Diseases

View full text Add to dashboard Cite

The descending aortic coarctation is often difficult to anatomically reconstruct. We report two cases of ascending aorta to abdominal aorta bypass without laparotomy or thoracotomy. This approach enabled us to avoid anastomosis close to the inflammatory lesion and left thoracotomy causing bleeding from the collateral vessels, and to allow concomitant cardiac procedures to be performed. The graft contact with the intestines can be preventable by the retroperitoneal approach. This technique is useful for the selective patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy

Terada

Yuasa

Hasegawa

et al. 2014

Annals of Vascular Diseases

View full text Add to dashboard Cite

show abstract

“…Therefore, other techniques can be used, minimizing risks of bleeding caused by excessive manipulation and local dissection, such as enlargement of the coarctate area with patches (bovine pericardium or Gore-tex), interposition or bypass of synthetic tubes. Heinemann et al [8] indicate the extraanatomical bypass in the following conditions: complex coarctation, reoperations, extensive aortic occlusive disease and complicated aneurisms, although this last condition is considered to be an exception.…”

Section: Discussionmentioning

confidence: 99%

“…Several surgical techniques have been used in the correction of aortic coarctation in adults, such as resection and performance of end-to-end anastomosis, interposition of synthetic tubes or enlargement of the coarctate zone with varied patches [7][8][9][10][11][12][13][14].…”

Section: Jatene Mb Et Al -Outcomes Of Aortic Coarctation Surgical Trmentioning

confidence: 99%

Resultados do tratamento cirúrgico da coarctação de aorta em adultos

Jatene¹,

Abuchaim²,

Oliveira³

et al. 2009

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

Objective: The aim of this study is to describe our experience in aortic coarctation surgery in adult patients by assessing the immediate and mid-term outcomes.Methods: From January 1997 to March 2000, 50 consecutive adult patients underwent surgery for correction of aortic coarctation, through left lateral thoracotomy. Of these, forty two (84%) patients presented high blood pressure, with mean systolic arterial pressure of 170.56 mmHg (125-220 mmHg). The mean of pressure gradient in the coarctation area was 51.4 mmHg (18-123 mmHg). Other associated surgical cardiovascular diseases were not treated in the same operative act, except in two cases of patent ductus arteriosus (PDA). Three different techniques were used: aortic coarctation resection with end-to-end anastomosis was performed in 20 (40%) patients, coarctation enlargement with bovine pericardial patch was performed in 22 (44%) patients and synthetic tube interposition was performed in eight (16%) patients.Results: Operative morbidity was low; there was one case of bleeding who required reoperation. The most common immediate postoperative event was high blood pressure (98%), but it was easily controlled by intravenous drugs. There was no hospital death. Mean residual pressure gradient was 18.7 (8-33 mmHg). Patients were discharged in 9.5 days (5-30). Postoperative follow-up mean was 46.8 months (1-145 months) in 45 (91.8%) patients. Forty one (91.1%) of these followed-up patients had normal blood pressure, whereas 75.6% of them without drugs intake. 93.3% of these followed-up patients were asymptomatic. Four of them required further surgical operation, one needed a pacemaker implant, other two patients needed a cardiac valve replacement and one had endocarditis. There was one related death due to sepsis secondary to endocarditis.

show abstract

“…This is generally performed via a median sternotomy, with cardiopulmonary bypass support (44,45). Proximally, a prosthetic conduit is anastomosed to the ascending aorta or the subclavian artery (46) and is anastomosed to the descending aorta distally, thereby bypassing the aortic coarctation segment.…”

Section: Extra-anatomical Correctionmentioning

confidence: 99%

Coarctation repair—redo challenges in the adults: what to do?

Beckmann

Jassar

2018

J. Vis. Surg.

View full text Add to dashboard Cite

Aortic coarctation is one of the most common congenital cardiac pathologies. Repair of native aortic coarctation is nowadays a common and safe procedure. However, late complications, including recoarctation and aneurysm formation, are not uncommon. The incidence of these complications is dependent on the type of the initial operation. Both endovascular and conventional open repair play important roles in the treatment of late complications after previous coarctation repair. This article will review the incidence of late complications after coarctation repair and will discuss the treatment options for redo coarctation repair in adult patients.

show abstract

Extraanatomic thoracic aortic bypass grafts: indications, techniques, and results1

Abstract: In complex aortic coarctation or hypoplasia extraanatomic bypass grafts are expedient and effective procedures, especially for reoperation. Their use in the treatment of aneurysmal lesions remains an exception.

Cited by 64 publications

References 16 publications

Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy

Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy

Resultados do tratamento cirúrgico da coarctação de aorta em adultos

Coarctation repair—redo challenges in the adults: what to do?

Contact Info

Product

Resources

About