Extra-anatomical bypass in complex and recurrent aortic coarctation and hypoplastic arch

Interactive Cardiovascular and Thoracic Surgery
Eva Maria Delmo WalterRoland Hetzer

Abstract

Our goal was to report the selection schemes, technical variations and long-term outcome of extra-anatomical bypass to correct complex, recurrent aortic coarctation and hypoplastic aortic arch. Between 1989 and 2012, 53 patients (mean age 13.2 ± 4.3, median 11.6, range 9-23 years) with complex aortic coarctation (n = 33; long-segment hypoplastic aortic arch in 15), recurrent coarctation (n = 20; anastomosic pseudoaneurysm in 10), underwent correction using extra-anatomical bypass, either with (n = 18: femoral bypass = 13, left heart bypass = 5) or without (n = 35) extracorporeal circulation via a left lateral thoracotomy (n= 48) and combined median sternotomy and median laparotomy (n = 5). The decision to use extracorporeal circulation was based on the anatomical location of the coarctation, the length of the hypoplasia and a history of previous repair. Preoperatively, mean systolic blood pressure was 130 ± 30 mmHg at rest and 180 ± 40 mmHg during exercise, with a mean pressure gradient of 80 ± 11.6 (range 40-120) mmHg. Various extra-anatomical bypass strategies included left subclavian artery to descending aorta (n = 38), ascending aorta to left subclavian artery (n = 3), ascending aorta to descending aorta (n = 4), aortic arc...Continue Reading

References

Jul 1, 1985·The Annals of Thoracic Surgery·M S SweeneyD A Cooley
Jul 1, 1994·The Annals of Thoracic Surgery·S Y DeLeonR Pifarré
Nov 1, 1995·The Annals of Thoracic Surgery·A C Ralph-EdwardsR M Freedom
Jan 1, 1996·The Annals of Thoracic Surgery·D J BarronJ L Monro
Jan 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M K HeinemannH G Borst
Feb 28, 2002·The American Journal of Cardiology·Olga H Toro-SalazarJames H Moller
Dec 12, 2003·The Annals of Thoracic Surgery·Sérgio Almeida de OliveiraJanuário M de Souza
Apr 15, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ronald J WalhoutErik J Meijboom
Jun 18, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander KadnerRené Prêtre
Oct 26, 2005·The Annals of Thoracic Surgery·Andrew C FioreRobert G Johnson
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Pascal A BerdatThierry Carrel
Jan 29, 2008·The Annals of Thoracic Surgery·Florian S SchoenhoffThierry P Carrel
Nov 26, 2009·The Annals of Thoracic Surgery·John W BrownMark W Turrentine
May 21, 2013·The Annals of Thoracic Surgery·Roland HetzerEva Maria Delmo Walter
Jul 16, 2013·Journal of the American College of Cardiology·Morgan L BrownHartzell V Schaff
Apr 15, 2014·The Annals of Thoracic Surgery·Sameh M SaidHartzell V Schaff

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Citations

Jun 6, 2021·General Thoracic and Cardiovascular Surgery·Kyokun UeharaHiroaki Sasaki

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