Posterior Pericardial Ascending-to-Descending Aortic Bypass Through Median Sternotomy

Göksel, Onur; İnan, Kaan; Uçak, Alper; Temizkan, Veysel; Tatar, Tolga; Şahin, Sinan; Us, Melih Hulusi; Yılmaz, Ahmet

doi:10.1111/j.1540-8191.2008.00582.x

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…[19] Repair of the aortic coarctation with an ascending-to-descending bypass is safer and easier, particularly in patients with cardiac diseases associated with coarctation or recoarctation. [20][21][22] We performed ascending-to-descending bypass operations in three patients. We monitored the femoral arterial blood pressure during surgery via an arterial line, and we performed ascending aortic and femoral arterial cannulations due to need for perfusion below the coarctation in one patient.…”

Section: Discussionmentioning

confidence: 99%

Our surgical strategies in repair of coarctation of aorta in adult patients and long-term follow-up

Ergüneş¹

2021

Turk J Vasc Surg

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Objectives: This study aims to examine the effect of surgical strategies in repair of coarctation of aorta on systolic hypertension and long-term results.Patients and methods: A total of 13 adult patients (9 males, 4 females; mean age: 31.4±11.8 years; range, 18 to 51 years) who underwent aortic coarctation surgical repair between March 1990 and November 2016 were retrospectively analyzed. Data including demographic and clinical characteristics of the patients were recorded. Repair of coarctation of aorta was carried out with a left posterolateral thoracotomy through fourth intercostal space in 10 patients. Extra-anatomic aortic bypass grafting through median sternotomy was performed in three patients. Results:The mean follow-up was 131.4±112.6 (range, 2 to 312) months. No mortality was observed in any of the patients. The systolic blood pressures of the patients receiving and not receiving medical treatment preoperatively significantly decreased postoperatively and during follow-up (p≤0.05). Pleural effusion was seen in one patient with recurrent coarctation postoperatively. Postoperative atrial fibrillation persisted, despite medical treatment, in four patients who had atrial fibrillation preoperatively. Twelve (92.3%) patients had New York Heart Association (NYHA) Class I and one (7.7%) patient had Class II symptoms during follow-up (p<0.05). At the final follow-up visit, only three patients were normotensive without receiving any anti-hypertensive medication. Conclusion:Different surgical methods can be performed conformably to aortic coarctation and associated cardiac disease. Surgical repair of aortic coarctation in adults has a low risk and is an effective method in decreasing the systolic hypertension, reducing the requirement of antihypertensive medications and clinical symptoms.

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Section: Discussionmentioning

confidence: 99%

Our surgical strategies in repair of coarctation of aorta in adult patients and long-term follow-up

Ergüneş¹

2021

Turk J Vasc Surg

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“…As the latter has a problem of long-term graft patency, it may have been appropriate to perform ascending-to-descending aortic bypass in this patient. 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.…”

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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Surgical Anatomy of the Aorta

Berdajs

Turina

2011

Operative Anatomy of the Heart

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Posterior Pericardial Ascending-to-Descending Aortic Bypass Through Median Sternotomy

Abstract: Coarctation of the aorta with concomitant cardiac lesions can be repaired simultaneously through sternotomy and posterior pericardial approach, when patients present in adulthood, to minimize morbidity and mortality.

Cited by 4 publications

References 7 publications

Our surgical strategies in repair of coarctation of aorta in adult patients and long-term follow-up

Our surgical strategies in repair of coarctation of aorta in adult patients and long-term follow-up

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

Surgical Anatomy of the Aorta

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