PMID: 9169368Jan 1, 1997Paper

Coarctation in teenagers: two new surgical modifications

Journal of Cardiac Surgery
M A Sarsam

Abstract

Definitive surgical procedure for correction of aortic coarctation presenting initially in teenagers, remains an issue. Classic subclavian angioplasty as described by Waldhausen is not recommended after the age 1 or 2 years. Prosthetic patch angioplasty has been associated with an unacceptable incidence of aneurysm formation and resection with end to end anastomosis is not always easy, owing to the development of friable collaterals. In the last 4 years, we have utilized two surgical modifications for the treatment of primary isolated coarctation in teenagers. The first is aortoplasty, which relies on minimal resection of the coarctation segment and a plastic procedure of creating four identical flaps from the proximal and distal aorta, the interlocking of which will restore aortic lumen. The second modification is the use of a classic subclavian flap aortoplasty with the addition of a Gore-Tex graft, anastomosed between the upper lateral opening in the suture line and the distal left subclavian artery. Additionally, for the treatment of recurrent coarctation associated with cardiac anomalies, we have utilized the use of adult sized extra-anatomical conduit interposed between the ascending and the descending aorta. All three pr...Continue Reading

References

Jun 1, 1989·International Journal of Cardiology·E J LadusansP B Deverall
Jan 1, 1989·The British Journal of Surgery·W G WoodsL P Le Quesne
Apr 15, 1988·The American Journal of Cardiology·M M MartinA Rosenthal
Jul 1, 1985·The Annals of Thoracic Surgery·M S SweeneyD A Cooley
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·S ConteC Planché
Nov 1, 1995·The Annals of Thoracic Surgery·J M GrindaJ Y Neveux
Jan 1, 1996·The Annals of Thoracic Surgery·D J BarronJ L Monro

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