Dec 1, 1975

Simplified operative technique for the long-segment atypical coarctation of the aorta

The Japanese Journal of Surgery
R HatanoT Sakamoto

Abstract

Simplified operative technique for the long-segment atypical coarctation of the aorta was described. The main objective of this technique is to gain quick access to both thoracic and abdominal aorta with minimal blood loss, and preservation of diaphragmatic function. This procedure consists of standard thoracotomy and pararectal incision with an entry into the retroperitoneal space. Long prosthetic graft was anastomosed in an end-to-side fashion to bypass the coarctated aorta. The graft is placed through peripheral circumference of the left hemidiaphragm, where phrenic nerve injury is not likely to occur. This technique was successfully applied to two cases of long-segment atypical coarctation of the aorta due to Takayasu's aortitis. Retroperitoneal placement of the graft prevents fatal hemorrhage due to direct contact with the graft. Contamination with transintestinal exudate can also be avoided. Results of the ten-year follow-up of the similar procedure in the literature is encouraging.

  • References3
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References

  • References3
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Citations

Mentioned in this Paper

Left Hemidiaphragm
Coarctation of Aorta Dominant
Structure of Phrenic Nerve
Retroperitoneal Space
Dissecting Aneurysm of the Thoracic Aorta
Postoperative Hemorrhage
Entire Aorta
Aorta
Hypertensive Disease
Exudate

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