Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-24T15:28:17.995Z Has data issue: false hasContentIssue false
  • English
  • Français

Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

Published online by Cambridge University Press:  19 August 2008

Ganga Prabhakar ,
Naresh Kumar ,
Zohair Al Halees  and
Neil Wilson
Ganga Prabhakar
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Naresh Kumar
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Zohair Al Halees
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Neil Wilson*
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
*
Dr. Neil Wilson, Department of Cardiovascular Diseases (MBC 16), King Faisal Specialist Hospital, P.O. Box 3354, Riyadh 11211, Saudi Arabia. Tel. 966 I 442 7472; Fax. 966 1 442 7482.
Get access Rights & Permissions [Opens in a new window]

Abstract

Repair of severe hypoplasia of the aortic arch with coarctation must be based on the individual anatomy of the lesion and, where necessary, one should take into consideration associated cardiac abnormalities. We report a surgical technique which was employed when standard procedures for reconstruction of the arch had failed to relieve the obstruction adequately. A conduit from the carotid artery to the descending aorta was used successfully in two patients to abolish residual stenosis.

Keywords

Coarctation of aortahypoplastic aortic archcarotid artery
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 76 - 78
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Crafoord, C, Nylin, G.Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945; 14: 347–361.CrossRefGoogle Scholar
Waldhausen, JA, Nahrwold, DL.Repair of coarctation with a subclavian flap. J Thorac Cardiovasc Surg 1966; 51: 532–533.CrossRefGoogle ScholarPubMed
Vosschulte, K.Surgical correction of coarctation of the aorta by an isthumusplastic operation. Thorax 1961; 14: 347–361.Google Scholar
Rao, PS, Chopra, PS. Role of balloon angioplasty in the treatment of aortic coarctation. Ann Thorac Surg 1991; 52: 621–631.CrossRefGoogle ScholarPubMed
Amato, JJ, Rheinlander, HF, Cleveland, RJ.A method of enlarging the distal transverse arch in infants with hypoplasia and coarctation of the aorta. Ann Thorac Surg 1977; 23: 261– 263.CrossRefGoogle ScholarPubMed
Elliott, MJ.Coarctation of the aorta with arch hypoplasia: Improvements on a new technique. Ann Thorac Surg 1987; 44: 321–323.CrossRefGoogle ScholarPubMed
Fishman, NH, Bronstein, MH, Berman, W, Roe, BB, Edmunds, LH, Robinson, SJ, Rudolph, AM.Surgical management of severe aortic coarctation and interrupted aortic arch in neonates.J Thorac Cardiovasc Surg 1976; 71: 35–48.CrossRefGoogle ScholarPubMed
Monro, JL, Bunton, RW, Sutherland, GR, Keeton, BR.Correction of interrupted aortic arch. J Thorac Cardiovasc Surg 1989; 98: 421–427.CrossRefGoogle ScholarPubMed
Sweeney, MS, Walker, WE, Duncan, JM, Hallman, GL, Livesay, JJ, Cooley, DA.Reoperation for aortic coarctation: Technique, results and indications for various approaches. Ann Thorac Surg 1985; 40: 46–49.CrossRefGoogle ScholarPubMed
Edie, RN, Janani, J, Attai, LA, Malm, JR, Robinson, G.Bypass grafts for recurrent or complex coarctation of the aorta. Ann Thorac Surg 1975; 20: 558–566.CrossRefGoogle ScholarPubMed
Weldon, CS, Hartmann, AF Jr, Steinhoff, NG, Morrissey, JD.A simple, safe, and rapid technique for the management of recurrent coarctation of the aorta. Ann Thorac Surg 1973; 15: 510–519.CrossRefGoogle ScholarPubMed
Jacob, T, Cobanoglu, A, Starr, A.Late results of the ascending aorta - descending aorta bypass grafts for recurrent coarctation of the aorta. J Thorac Cardiovasc Surg 1988; 95: 782–787.CrossRefGoogle Scholar
Rostad, H, Abdelnoor, M, Sorland, S, Tjonneland, S.Coarctation of the aorta, early and late results of various surgical techniques. J Cardiovasc Surg 1989; 30: 885–890.Google ScholarPubMed
Hvaas, H, Binet, JP.Recurrent coarctation of the thoracic aorta: Subclavian flap arterioplasty with carotid reimplantation of the distal subclavian artery. Ann Thorac Surg 1981; 32:495–498.CrossRefGoogle Scholar
Sirak, HD, Ressallat, M, Hosier, DM, De Lorimer, M.A new operation for repairing aortic arch atresia in infancy. Report of three cases. Circulation 1968; 38(Suppl II): 43–50.Google Scholar
Vincent, JG, Daniels, O, Oort, AV, Lacquet, LK.Hypoplastic aortic arch with aortic coarctation: surgical correction. J Thorac Cardiovasc Surg 1985; 89: 465–468.CrossRefGoogle ScholarPubMed
Irwin, ED, Braunlin, EA, Foker, JE.Staged repair of interrupted aortic arch and ventricular septal defect in infancy. Ann Thorac Surg 1991; 52: 632–639.CrossRefGoogle ScholarPubMed