Interruption of aortic arch in adults—successful surgical treatment in 7 cases without cardiopulmonary bypass

Krishna, Cheemalapati Sai; Bhan, Anil; Airan, Balram; Choudhary, UK; Sk, Choudhary; Bisoi, AK; Sharma, Sanjiv; Venugopal, P

doi:10.1007/s12055-004-0408-x

Cited by 16 publications

(34 citation statements)

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“…The cause of death being attributed to increased pulmonary hypertension and the resultant biventricular failure. Not with stand ing, there are cases that are detected late into adulthood 2,6,8 . Krishna et al 8 , reported IAA in several adults includ ing a 64year old.…”

Section: Discussionmentioning

confidence: 99%

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A rare type of interruption of the aortic arch: Case report

Pulei¹,

Ongeti²,

Rogena³

et al. 2013

OA Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Not with stand ing, there are cases that are detected late into adulthood 2,6,8 . Krishna et al 8 , reported IAA in several adults includ ing a 64year old. Collateral allows for survival of these patients into adulthood.…”

Section: Discussionmentioning

confidence: 99%

A rare type of interruption of the aortic arch: Case report

Pulei¹,

Ongeti²,

Rogena³

et al. 2013

OA Case Reports

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“…Krishna SC et al [10] 23/M A 20 mm 17 Celkan MA et al [21] 35/M A Size not stated 18 Casati V et al [22] 35/M A 16 mm tomography unit are a reliable noninvasive diagnostic modality for the precise diagnosis of aortic coarctation and aortic arch anomalies. In addition, as in our case, they are useful for the visualization of the collateral vessels.…”

Section: Discussionmentioning

confidence: 99%

“…[8] The surgical reparation of IAA cases in a single-or multi-staged setting had been a matter of debate until recently; however, a single-stage repair is now considered to be the best method of treatment in infants. [9] Sai Krishna et al [10] published their three-year surgical experience in treating IAA in seven adult cases. They used a single-stage extra-anatomic bypass in nearly all of their cases through a midline sternotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Most adult patients with IAA have been repaired by using a single-stage extra-anatomic approach (Table 1). [10][11][12][13][14][15][16][17][18][19][20][21][22] For our case, the correction was done in a single setting by using an extra-anatomic bypass with a tubular Dacron graft. Different sizes (10-20 mm) of extra-anatomic Dacron tubular grafts have been used in the literature for this procedure, but we preferred a 22 mm Dacron graft, the largest graft we saw in the literature, in an effort to obtain a better distal blood flow.…”

Section: Discussionmentioning

confidence: 99%

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The single-stage extra-anatomic repair of an isolated interrupted aortic arch in an adult and a review of the literature

Özeren¹

2012

Turk Gogus Kalp Dama

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Kesintiye uğramış arkus aort, çıkan ve inen aort arasında lümenin tamamen kaybı ve anatomik sürekliliğin olmaması ile karakterize, nadir ve ciddi bir doğuştan kalp defektidir. Bu malformasyonun prognozu, cerrahi olarak tedavi edilmez ise kötüdür. Bu yazıda tip A kesintiye uğramış arkus aortu olan ve cerrahi ile başarılı bir şekilde tedavi edilen 56 yaşında erkek hasta, konu ile ilgili literatür göz-den geçirilerek sunuldu.Anah tar söz cük ler: Erişkin; doğuştan; ekstra anatomik baypas; kesintiye uğramış arkus aort.Interrupted aortic arch is a rare and severe congenital heart defect characterized by a complete loss of luminal and anatomic continuity between the ascending and the descending aorta. This malformation has a poor prognosis without surgical treatment. In this article, we present a 56-year-old male patient with interrupted aortic arch type A who was treated successfully with surgery, and review the literature regarding this topic.Key words: Adult; congenital; extra-anatomic bypass; interrupted aortic arch.The interruption of the aortic arch (IAA) characterized by complete luminal and anatomic discontinuity between the ascending and descending aorta is an extremely rare entity in the adult population.[1] It is often diagnosed and repaired during the neonatal period. The prognosis for this anomaly depends on the associated congenital anomalies, but the outcome is usually very poor unless there is surgical treatment. We found 18 adult cases (18 years and older) of IAA which had been surgically treated by extra-anatomic bypass in the literature. Herein we describe a successful extra-anatomic repair in a patient who had an isolated type A aortic interruption. CASE REPORTA 56-year-old male patient arrived at the cardiology clinic of our hospital complaining of chest pain and shortness of breath. He also had a history of stroke due to an intracranial hemorrhage and hypertension, which had been treated with angiotensin-converting enzyme (ACE) inhibitors. On his physical examination, the peripheral pulses were normally palpable in the upper extremities, but they were reduced in the lower limbs. Cardiac auscultation revealed a rhythmic tachycardia with no additional heart sounds. Electrocardiography showed sinus tachycardia and signs of left ventricular hypertrophy and ST-T wave changes. Chest radiography showed an increased cardiothoracic ratio. Laboratory results were within normal ranges.An angiography was performed via the femoral approach for coronary artery imaging, but the catheter could not be inserted to the arcus aorta (Figure 1a). Interruption of the thoracic aorta was suspected. The angiography was then repeated via the brachial approach, and the interruption of the arcus aorta was diagnosed with normal coronary arteries (Figure 1b). An angiotomography of the aorta was then requested which disclosed an aortic occlusion 2 cm after the origin of the left subclavian artery (Figure 2a). This

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