732-6 Resection of Aortic Coarctation and Modified Extended Anastomosis of Descending Aorta to Undersurface of Aortic Arch: Effect on Recurrence

SummaryWe examined the number of elastic lamellae in the wall of the proximal aortic arch, aortic isthmus and descending aorta in patients with coarctation of the aorta. In the proximal aortic arch, the number of elastic lamellae was significantly lower in patients with coarctation compared to those with normal hearts without aortic anomalies and those with intracardiac defects but without aortic anomalies. The isthmus also showed a significantly lower number of elastic lamellae in the presence of preductal coarctation. In the descending aorta, the number of elastic lamellae was not significantly different between the different groups. There is doubt about the etiology of coarctation. Recent investigations showed that cells from the cardiac neural crest contribute to the formation of the arch arteries and the media of the arch. A developmental error of the neural crest might be responsible for the abnormal mural structures found in patients with aortic coarctation.

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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

Cardiology in the Young ◽

10.1017/s1047951100010702 ◽

1993 ◽

Vol 3 (1) ◽

pp. 76-78

Author(s):

Ganga Prabhakar ◽

Naresh Kumar ◽

Zohair Al Halees ◽

Neil Wilson

Keyword(s):

Surgical Technique ◽

Carotid Artery ◽

Aortic Arch ◽

Aortic Coarctation ◽

Bypass Graft ◽

Descending Aorta ◽

Residual Stenosis ◽

Cardiac Abnormalities ◽

Standard Procedures ◽

The Individual

AbstractRepair 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.

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Persistent fifth aortic arch associated with aortic coarctation: a case of surgical correction without artificial material

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01664-y ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Chang Hun Kim ◽

Hyungtae Kim ◽

Kwang Ho Choi ◽

Si Chan Sung ◽

Hoon Ko ◽

...

Keyword(s):

Aortic Arch ◽

Aortic Coarctation ◽

Surgical Intervention ◽

Surgical Techniques ◽

Growth Potential ◽

Case Presentation ◽

Descending Aorta ◽

Persistent Fifth Aortic Arch ◽

Additional Surgery ◽

Surgical Methods

Abstract Background Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. Case presentation A 41-day-old female infant was admitted for sustained fever. Initially, the patient was diagnosed with bacterial meningitis, and echocardiography showed PFAA with severe aortic coarctation. Because the patient presented progressive oliguria and metabolic acidosis, she was transferred for emergency cardiac surgical intervention. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. Conclusions PFAA with aortic coarctation can be repaired by various surgical methods. Among them, our surgical approach is easy and effective, has growth potential, and an additional surgery is not needed.

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Persistent Fifth Aortic Arch Associated With Aortic Coarctation: A Case of Surgical Correction Without Artificial Material

10.21203/rs.3.rs-151066/v1 ◽

2021 ◽

Author(s):

Chang Hun Kim ◽

Hyungtae Kim ◽

Kwang Ho Choi ◽

Si Chan Sung ◽

Hoon Ko ◽

...

Keyword(s):

Aortic Arch ◽

Aortic Coarctation ◽

Surgical Intervention ◽

Surgical Techniques ◽

Growth Potential ◽

Case Presentation ◽

Descending Aorta ◽

Persistent Fifth Aortic Arch ◽

Additional Surgery ◽

Surgical Methods

Abstract Background: Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. Case presentation: A 41-day-old female infant was admitted for sustained fever. Initially, the patient was diagnosed with bacterial meningitis, and echocardiography showed PFAA with severe aortic coarctation. Because the patient presented progressive oliguria and metabolic acidosis, she was transferred for emergency cardiac surgical intervention. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. Conclusions: PFAA with aortic coarctation can be repaired by various surgical methods. Among them, our surgical approach is easy and effective, has growth potential, and an additional surgery is not needed.

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Surgical treatment of double-lumen aortic arch (persistent fifth aortic arch) associated with severe aortic coarctation

10.22541/au.160882433.31259424/v1 ◽

2020 ◽

Author(s):

Chang Hun Kim ◽

Hyungtae Kim ◽

Kwang Ho Choi ◽

Si Chan Sung ◽

Hoon Ko

Keyword(s):

Surgical Treatment ◽

Aortic Arch ◽

Aortic Coarctation ◽

Surgical Techniques ◽

Growth Potential ◽

Double Lumen ◽

Descending Aorta ◽

Persistent Fifth Aortic Arch ◽

Rare Anomaly ◽

Additional Surgery

Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. This approach is easy and effective, has growth potential, and an additional surgery is not needed in the future.

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Interrupted fourth aortic arch with persistent fifth aortic arch and aortic coarctation—treatment with balloon angioplasty combined with surgery

Cardiology in the Young ◽

10.1017/s1047951100011239 ◽

1994 ◽

Vol 4 (3) ◽

pp. 304-306 ◽

Cited By ~ 2

Author(s):

Raul Jurí ◽

Luis Eduardo Alday ◽

Roberto De Rossi

Keyword(s):

Aortic Arch ◽

Subclavian Artery ◽

Balloon Angioplasty ◽

Aortic Coarctation ◽

Left Subclavian Artery ◽

Balloon Dilation ◽

Descending Aorta ◽

Persistent Fifth Aortic Arch

AbstractA symptomatic neonate was referred for aortic coarctation and, at cineangiography, was shown to have an interruption of the aortic arch at the isthmus together with coarctation related to a persistent fifth aortic arch. Balloon dilation of the coarctation was performed, but the coarctation was still evident after six months. A graft was then interposed between the left subclavian artery and the descending aorta. Balloon dilation was repeated five years later leaving a residual gradient of 11 mm Hg.

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Dilatation of the entire thoracic aorta in patients with bicuspid aortic valve: a magnetic resonance angiography study

VASA ◽

10.1024/0301-1526.34.3.181 ◽

2005 ◽

Vol 34 (3) ◽

pp. 181-185 ◽

Cited By ~ 12

Author(s):

Westhoff-Bleck ◽

Meyer ◽

Lotz ◽

Tutarel ◽

Weiss ◽

...

Keyword(s):

Magnetic Resonance ◽

Magnetic Resonance Angiography ◽

Aortic Valve ◽

Pulmonary Artery ◽

Aortic Arch ◽

Thoracic Aorta ◽

Aortic Root ◽

Ascending Aorta ◽

Descending Aorta ◽

Severe Aortic Regurgitation

Background: The presence of a bicuspid aortic valve (BAV) might be associated with a progressive dilatation of the aortic root and ascending aorta. However, involvement of the aortic arch and descending aorta has not yet been elucidated. Patients and methods: Magnetic resonance angiography (MRA) was used to assess the diameter of the ascending aorta, aortic arch, and descending aorta in 28 patients with bicuspid aortic valves (mean age 30 ± 9 years). Results: Patients with BAV, but without significant aortic stenosis or regurgitation (n = 10, mean age 27 ± 8 years, n.s. versus control) were compared with controls (n = 13, mean age 33 ± 10 years). In the BAV-patients, aortic root diameter was 35.1 ± 4.9 mm versus 28.9 ± 4.8 mm in the control group (p < 0.01). The diameter of the ascending aorta was also significantly increased at the level of the pulmonary artery (35.5 ± 5.6 mm versus 27.0 ± 4.8 mm, p < 0.001). BAV-patients with moderate or severe aortic regurgitation (n = 18, mean age 32 ± 9 years, n.s. versus control) had a significant dilatation of the aortic root, ascending aorta at the level of the pulmonary artery (41.7 ± 4.8 mm versus 27.0 ± 4.8 mm in control patients, p < 0.001) and, furthermore, significantly increased diameters of the aortic arch (27.1 ± 5.6 mm versus 21.5 ± 1.8 mm, p < 0.01) and descending aorta (21.8 ± 5.6 mm versus 17.0 ± 5.6 mm, p < 0.01). Conclusions: The whole thoracic aorta is abnormally dilated in patients with BAV, particularly in patients with moderate/severe aortic regurgitation. The maximum dilatation occurs in the ascending aorta at the level of the pulmonary artery. Thus, we suggest evaluation of the entire thoracic aorta in patients with BAV.

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Aneurysm Hybrid Treatment by Simultaneous Replacement of Ascending Aorta and Aortic Arch and Endoluminal Stenting of the Descending Aorta

The Heart Surgery Forum ◽

10.1532/hsf98.20051033 ◽

2006 ◽

Vol 9 (1) ◽

pp. E530-E532

Author(s):

Friedrich-Christian Riess ◽

Hans Krankenberg ◽

Thilo Tübler ◽

Matthias Danne

Keyword(s):

Aortic Arch ◽

Ascending Aorta ◽

Descending Aorta ◽

Hybrid Treatment

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Type B Interrupted Aorta in an Adult Patient

The Heart Surgery Forum ◽

10.1532/hsf98.2013309 ◽

2014 ◽

Vol 17 (2) ◽

pp. 80

Author(s):

Ahmet Ozkara ◽

Mehmet Ezelsoy ◽

Levent Onat ◽

Ilhan Sanisoglu

Keyword(s):

Cardiopulmonary Bypass ◽

Aortic Arch ◽

Collateral Circulation ◽

Neonatal Period ◽

Interrupted Aortic Arch ◽

Complete Loss ◽

Posterolateral Thoracotomy ◽

Type B ◽

Case Presentation ◽

Descending Aorta

Introduction: Interrupted aortic arch is a rare congenital malformation characterized by a complete loss of luminal continuity between the ascending and descending aorta. It is often diagnosed during the neonatal period.Case presentation: We presented a 51-year-old male patient with interrupted aortic arch type B who was treated successfully with posterolateral thoracotomy without using cardiopulmonary bypass.Conclusion: The prognosis for interrupted aortic arch depends on the associated congenital anomalies, but the outcome is usually very poor unless there is surgical treatment. Survival into adulthood depends on the development of collateral circulation.

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RF22 EXTRA-ANATOMIC BYPASS IN AN INFANT WITH SEVERE AORTIC ARCH AND THORACIC DESCENDING AORTA THROMBOSIS

Journal of Cardiovascular Medicine ◽

10.2459/01.jcm.0000550049.50754.51 ◽

2018 ◽

Vol 19 ◽

pp. e66

Author(s):

S. Hoxha ◽

G. Poretti ◽

C. sandrini ◽

L. barozzi ◽

A. murari ◽

...

Keyword(s):

Aortic Arch ◽

Descending Aorta

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