Perioperative complications in combined aortic valve replacement and extraanatomic ascending descending bypass

Pethig, Klaus; Wahlers, T; Tager, Salis; Borst, H. G.

doi:10.1016/0003-4975(96)00140-3

Cited by 37 publications

(26 citation statements)

References 5 publications

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“…In the rare clinical situation of aortic coarctation combined with aortic stenosis, treatment of the coarctation with stents may have an important role. In this, stent implantation avoids the operative hazards of treating both conditions surgically21 and makes subsequent aortic valve surgery more straightforward. We encountered a low incidence of complications at the level of vascular access.…”

Section: Discussionmentioning

confidence: 99%

Stent implantation for aortic coarctation and recoarctation

Magee

Brzezińska‐Rajszys

Qureshi

et al. 1999

Heart

138

106

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Objective-To determine the early results of balloon expandable stent implantation for aortic coarctation or recoarctation. Design-Prospective observational study. Setting-Two paediatric cardiology tertiary referral centres. Patients-17 patients, median age 17 years (range 4.4 to 45) and median weight 61 kg (17 to 92). Six had native aortic coarctation and 11 had aortic recoarctation; 14 had upper limb systolic hypertension. Of those with recoarctation, eight had had at least one previous balloon dilatation attempt and two of these patients also had further surgical interventions. Intervention-Balloon expandable Palmaz iliac stent implantation. Main outcome measures-Systolic pressures gradients, minimum aortic diameter, upper limb blood pressures, and incidence of aneurysm formation. Results-18 stents were implanted during 18 procedures in the 17 patients. Mean peak systolic pressure gradient fell from 26 mm Hg (95% confidence interval (CI), 21 to 31 mm Hg) before to 5 mm Hg (2 to 8 mm Hg) after stent implantation (p < 0.001), and mean minimum aortic diameter increased from 7 mm (95% CI, 6 to 8 mm) before to 11.3 mm (10 to 12.6 mm) after implantation (p < 0.001). Complications occurred in five patients (bleeding in two, stent migration in two, and aneurysm formation in one). Two patients remained borderline hypertensive and eight were receiving antihypertensive treatment at most recent assessment. Conclusions-Stent implantation for aortic recoarctation and native coarctation gives good immediate results. Careful follow up is necessary to evaluate complications and the long term eVect on blood pressure. (Heart 1999;82:600-606)

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Section: Discussionmentioning

confidence: 99%

Stent implantation for aortic coarctation and recoarctation

Magee

Brzezińska‐Rajszys

Qureshi

et al. 1999

Heart

138

106

View full text Add to dashboard Cite

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“…The extra-anatomic bypass seems to be a relatively safe alternative that allows simultaneous repair of intracardiac lesions and AC, avoids the hemodynamic perturbation of the second lesion in case of staged procedure and provides good results [1] [2]. Although, this approach can sometimes be responsible of complications; in 1996, Pethig [1] [14] reported hemodynamic instability in 2 patients early after aortic valve replacement and extra-anatomic bypass for AC. This complication was believed to be due to myocardial ischemia related to low diastolic perfusion pressure in severely hypertrophied hearts.…”

Section: Discussionmentioning

confidence: 99%

“…Polytetrafluoroethylene ringed grafts are used for this procedure by some groups in an effort to reduce the po-tential complications of graft kinking and narrowing. Additional potential late complications include infection, false aneurysms, and anastomotic dehiscence with pseudoaneurysm formation in patients who have considerable somatic growth after repair [1] [14].…”

Section: Discussionmentioning

confidence: 99%

Single-Stage Repair of a Critical Aortic Coarctation, a Bicuspid Aortic Stenosis and an Ascending Aortic Aneurysm

Bellouize¹,

Moutakiallah²,

Houssa³

et al. 2016

WJCS

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We report a 26-year-old man with critical aortic coarctation, severe bicuspid aortic valve stenosis, infective endocarditis and ascending aortic aneurysm. He underwent simultaneously in singlestage a Bentall's procedure and an extra-anatomic ascending-descending aortic bypass grafting by 14-mm Dacron tube, through median sternotomy. The immediate postoperative outcome was favourable. The CT scan control for 7 years after surgery showed a good patency of the extra-anatomic bypass.

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“…There are several reports of the outcomes of this operative procedure [12][13][14][15] indicating favorable operative results. However, Pethig, et al 16) reported heart failure and life-threatening ventricular arrhythmias in patients with one-stage aortic valve repair and extra-anatomic bypass grafting for coarctation of the aorta. These complications may be attributable to global myocardial ischemia and impaired coronary blood supply in the hypertrophied hearts with a low perfusion pressure.…”

Section: Discussionmentioning

confidence: 99%

Co-Existence of Severe Coarctation of the Aorta and Aortic Valve Stenosis in a 65-Year-Old Woman: A Case Report

Onohara

Sato

Tasaki

et al. 2014

ATCS

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Coarctation of the aorta is usually diagnosed and corrected early in life. Survival to more than 60 years of age of a patient with unrepaired coarctation of the aorta is extremely unusual, and the optimal management strategies for such patients are controversial. We describe the case of a woman who was first diagnosed as having coarctation of the aorta and aortic valve stenosis at the age of 65 years and underwent successful aortic valve replacement.

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Perioperative complications in combined aortic valve replacement and extraanatomic ascending descending bypass

Cited by 37 publications

References 5 publications

Stent implantation for aortic coarctation and recoarctation

Stent implantation for aortic coarctation and recoarctation

Single-Stage Repair of a Critical Aortic Coarctation, a Bicuspid Aortic Stenosis and an Ascending Aortic Aneurysm

Co-Existence of Severe Coarctation of the Aorta and Aortic Valve Stenosis in a 65-Year-Old Woman: A Case Report

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