Revised technique of cardiopulmonary bypass in one-stage repair of interrupted aortic arch complex

Yasui, Hirofumi; Kado, Hideaki; Yonenaga, K; Kawasaki, Shihori; Shiokawa, Yoshiaki; Kouno, Hiroaki; Tominaga, Ryuji; Kawachi, Yoshito; Tokunaga, Kazutoshi

doi:10.1016/0003-4975(93)90026-e

Cited by 31 publications

(19 citation statements)

References 15 publications

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“…In earlier series mean age of repair was 40-45 days [19,20]. Currently, the optimal time to operate is within first week of life due to pulmonary overcirculation [7,12,13,15].…”

Section: Age At Repairmentioning

confidence: 98%

“…Several procedures have been proposed to address subaortic obstruction [6,7,20,[55][56][57]: (1) standard VSD closure ignoring the SAS [6,7], (2) creation of a double outlet left ventricle associated with aortopulmonary anastomosis and conduit insertion between the right ventricle and pulmonary artery bifurcation [19,20], (3) conversion into a univentricular physiology [7], (4) resection of the conal septum [7,55] and (5) application of the patch to the left aspect of the VSD (conal septum) [6].…”

Section: Relief Of Sasmentioning

confidence: 99%

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Management strategies for interrupted aortic arch with associated anomalies

Mishra

2009

European Journal of Cardio-Thoracic Surgery

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Interrupted aortic arch (IAA) is characterised by a lack of luminal continuity between the ascending and descending thoracic aorta. It represents a critical ductus dependent congenital heart disease, which without surgery is associated with high mortality in the neonatal period. Management remains challenging, although in recent years overall mortality appears to be improving. Long-term morbidity and need for repeated interventions are areas of concern. It is difficult to make generalised recommendations based on this literature review as complex associated anomalies often require individualised management strategy.

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“…In earlier series mean age of repair was 40-45 days [19,20]. Currently, the optimal time to operate is within first week of life due to pulmonary overcirculation [7,12,13,15].…”

Section: Age At Repairmentioning

confidence: 98%

Section: Relief Of Sasmentioning

confidence: 99%

Management strategies for interrupted aortic arch with associated anomalies

Mishra

2009

European Journal of Cardio-Thoracic Surgery

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“…In both groups, the procedure was performed at 26À28°. They found that the additional descending perfusion resulted in better urine output but the same trend in serum creatinine, better hepatic function, and faster resolution of lactate elevation [17].…”

Section: Full-flow Whole Body Perfusion Techniquesmentioning

confidence: 97%

“…Such a technique should in theory provide blood flow for the kidney and the other tissues perfused by the descending aorta which is not different from what they would receive during ordinary cardiopulmonary bypass without aortic clamping. The concept of delivering full-flow perfusion to the descending aorta during arch reconstruction was first reported by Yasui et al in 1993, in their effort to improve the outcome of interrupted arch repair [17]. Their technique began with left thoracotomy for connection of an ePTFE tube graft to the descending aorta.…”

Section: Full-flow Whole Body Perfusion Techniquesmentioning

confidence: 99%

Supplemental Perfusion Techniques for Aortic Arch Reconstruction, With Emphasis on Direct Cannulation of the Descending Aorta

Hammel

2019

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Card

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The established techniques of deep hypothermia with circulatory arrest and regional cerebral perfusion expose infants and children to additional physiologic stress and deleterious effects which may adversely affect the outcome of operations involving reconstruction of the aortic arch. Alternative techniques to supplement perfusion support are an area of innovation today. The most effective adjunct for somatic perfusion during arch reconstruction is direct cannulation of the innominate artery and the descending aorta, with full flow at mild hypothermia distributed throughout the entire body just as it is during routine, single cannulation surgery with an intact aorta. Detailed facilitating techniques for descending aortic cannulation are discussed.Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann 22:14À20

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“…Type C: aortic interruption occurs between the innominate artery and the left common carotid artery [ 3 ]. One-stage repair including anastomosis for the aortic arch reconstruction and repair of all coexisting intracardiac defects is considered the treatment of choice [ 4 ]. Interruption of the descending aorta is a rare great vessel malformation, and a case including complications of acute paraplegia and subarachnoid hemorrhage is even more unusual.…”

Section: Introductionmentioning

confidence: 99%

Successful surgical treatment of descending aorta interruption in a 29-year-old woman with acute paraplegia and subarachnoid hemorrhage: a case report

Bai

Wang

Zhang

et al. 2015

J Cardiothorac Surg

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Interruption of the descending aorta is an extremely rare great vessel malformation. In this report, we describe a very unusual case of a 29-year-old female with a 13-year history of hypertension who was found to have an interruption of the descending aorta when she was hospitalized with a subarachnoid hemorrhage and symptoms of acute paraplegia. We successfully surgically corrected the defect using a Gore-Tex® graft to bypass the aortic interruption. The patient’s blood pressure postoperatively returned to normal, and the patient recovered completely from her paraplegia by the time of her 5-month follow-up visit.

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Revised technique of cardiopulmonary bypass in one-stage repair of interrupted aortic arch complex

Cited by 31 publications

References 15 publications

Management strategies for interrupted aortic arch with associated anomalies

Management strategies for interrupted aortic arch with associated anomalies

Supplemental Perfusion Techniques for Aortic Arch Reconstruction, With Emphasis on Direct Cannulation of the Descending Aorta

Successful surgical treatment of descending aorta interruption in a 29-year-old woman with acute paraplegia and subarachnoid hemorrhage: a case report

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