Transcatheter mechanical thrombectomy of neonatal occlusive aortic thrombus using an Amplatzer Piccolo PDA occluder

2021 ◽  
pp. 1-3
Author(s):  
Christopher Herron ◽  
Stuart Covi ◽  
Athina Pappas ◽  
Daisuke Kobayashi
Keyword(s):  
Aortic Arch ◽  
Critical Condition ◽  
Mechanical Thrombectomy ◽  
Coarctation Of The Aorta ◽  
Premature Neonate ◽  
Interrupted Aortic Arch ◽  
Thromboembolic Events ◽  
Descending Aorta ◽  
Aortic Thrombus

Abstract Neonatal aortic thrombus is a rare and critical condition that can present mimicking severe coarctation of the aorta or interrupted aortic arch. Transcatheter thrombectomy for this lesion has not been well described. We report a premature neonate with an occlusive proximal descending aorta thrombus, who underwent transcatheter mechanical thrombectomy using an Amplatzer Piccolo PDA occluder (Abbott, North Chicago, IL, USA). The procedure was successful with no subsequent distal thromboembolic events.

Complex Transposition of the Great Arteries with Interrupted Aortic Arch: Modified Great Vessel Reconstruction

1996 ◽  
Vol 4 (1) ◽  
pp. 26-28
Author(s):  
Jacques AM van Son
Keyword(s):  
Aortic Arch ◽  
Main Pulmonary Artery ◽  
Coarctation Of The Aorta ◽  
Radical Resection ◽  
Interrupted Aortic Arch ◽  
Ascending Aorta ◽  
Growth Potential ◽  
Great Vessel ◽  
Long Distance ◽  
Descending Aorta

Transposition of the great arteries with ventricular septal defect is often associated with anterior malalignment of the conal septum, hypoplasia of the ascending aorta and aortic arch, interrupted aortic arch or coarctation of the aorta, and hyperplasia of the main pulmonary artery. This marked disparity in great vessel size can result in difficulties at and beyond the neo-aorta-to-ascending aorta suture line, such as bleeding, distortion, obstruction, or the use of nonviable patch material. A modified surgical approach is presented in which the ascending aorta is anastomosed to the descending aorta, followed by anastomosis of the neo-aorta to the underside of the newly constructed aortic arch using a native aortic flap. The proposed technique greatly simplifies the reconstruction of the neo-aorta and the interrupted aortic arch, reduces tension on the neo-aorta to neo-aortic arch anastomosis, and preserves growth potential of the latter. This modification can especially be of benefit after radical resection of ductal tissue, particularly in association with interrupted aortic arch type A, with resulting long distance between the ascending and descending aorta.

Type B Interrupted Aorta in an Adult Patient

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

<p><b>Introduction:</b> 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.</p><p><b>Case presentation:</b> 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.</p><p><b>Conclusion:</b> 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.</p>

One-Stage Repair of Cardiac and Arch Anomalies without Circulatory Arrest

2003 ◽  
Vol 11 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Kona Samba Murthy ◽  
Robert Coelho ◽  
Christopher Roy ◽  
Snehal Kulkarni ◽  
Benjamin Ninan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Arch ◽  
Septal Defect ◽  
Circulatory Arrest ◽  
Coarctation Of The Aorta ◽  
Innominate Artery ◽  
Double Outlet Right Ventricle ◽  
Interrupted Aortic Arch ◽  
Ischemic Time ◽  
Arch Obstruction

Between 1999 and 2002, 23 patients underwent single-stage complete repair of cardiac anomalies and aortic arch obstruction, without circulatory arrest. Median age was 1.2 years. Intracardiac defects included ventricular septal defect in 9, double-outlet right ventricle in 6, d-transposition of the great arteries and ventricular septal defect in 2, subaortic obstruction in 3, and atrial septal defect in 3. Fourteen patients had coarctation of the aorta, 6 had coarctation with hypoplastic aortic arch, and 3 had interrupted aortic arch. Simple techniques were employed such as cannulation of the ascending aorta near the innominate artery and maintaining cerebral and myocardial perfusion. After correction of arch obstruction, intracardiac repair was undertaken. The mean cardiopulmonary bypass time was 169 min, aortic crossclamp time was 51 min, and arch repair took 16 min. There was no operative mortality or neurological deficit. In follow-up of 1–43 months, no patient had residual coarctation. This simplified technique avoids additional procedures, reduces ischemic time, and prevents problems related to circulatory arrest.

Echocardiography of coarctation of the aorta, aortic arch hypoplasia, and arch interruption: strategies for evaluation of the aortic arch

2016 ◽  
Vol 26 (8) ◽  
pp. 1553-1562 ◽  
Author(s):  
Suma P. Goudar ◽  
Sanket S. Shah ◽  
Girish S. Shirali
Keyword(s):  
Aortic Arch ◽  
Coarctation Of The Aorta ◽  
The United States ◽  
Interrupted Aortic Arch ◽  
Hypoplastic Left Heart ◽  
Live Births ◽  
Additional Information ◽  
Non Invasive ◽  
Aortic Arch Hypoplasia

AimEchocardiography is the modality of choice for the diagnosis and serial follow-up of aortic arch pathology. In this article, we review the types of obstruction of the aortic arch, various classification schemes of coarctation of the aorta and interrupted aortic arch, methodology for optimal echocardiographic imaging of the aortic arch, and key echocardiographic measurements for accurate diagnosis of obstruction and hypoplasia of the aortic arch. Finally, we will discuss the limitations of echocardiography in optimal imaging of the aortic arch and the use of other non-invasive imaging modalities such as CT or MRI to provide additional information in these cases.BackgroundCoarctation of the aorta is the more common lesion of the two, with an estimated incidence of four in every 10,000 live births in the United States of America. Interrupted aortic arch is rarer, with an incidence of 19 per one million live births.1 There is a spectrum of pathology of obstruction of the aortic arch, ranging from coarctation of the aorta with and without hypoplasia of the arch to interrupted aortic arch. Both these lesions are frequently encountered in congenital cardiology practice, and will be discussed in the remainder of this article. Obstruction of the aortic arch in the setting of hypoplastic left heart structures or atresia of the aortic valve is beyond the scope of this review and will not be discussed further.

scholarly journals Swing-back and trap-door technique repair for interrupted aortic arch with right-sided descending aorta

2019 ◽  
Vol 29 (5) ◽  
pp. 818-819
Author(s):  
Shuichi Shiraishi ◽  
Ai Sugimoto ◽  
Masanori Tsuchida
Keyword(s):  
Congenital Anomaly ◽  
Aortic Arch ◽  
Surgical Repair ◽  
Interrupted Aortic Arch ◽  
Thoracic Cavity ◽  
Descending Aorta ◽  
Rare Congenital Anomaly ◽  
Trap Door ◽  
Oesophageal Obstruction ◽  
The Right

Abstract A right-sided descending aorta with a left aortic arch is a rare congenital anomaly in which the aortic arch crosses the midline from the left side of the trachea coursing to the descending aorta in the right thoracic cavity. The surgical repair of an interrupted aortic arch with a right-sided descending aorta carries great risks of bronchial and oesophageal obstruction. Herein, we describe a case of successful surgical repair of an interrupted aortic arch with a right-sided descending aorta using the swing-back and trap-door techniques.

One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta

2012 ◽  
Vol 60 (9) ◽  
pp. 575-577
Author(s):  
Masatoshi Shimada ◽  
Takaya Hoashi ◽  
Koji Kagisaki ◽  
Tatsuya Oda ◽  
Isao Shiraishi ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Aortic Arch ◽  
Coarctation Of The Aorta ◽  
Descending Aorta ◽  
One Stage

Abnormal histology of the aortic arch in coarctation of the aorta

1993 ◽  
Vol 3 (4) ◽  
pp. 412-416 ◽  
Author(s):  
Derk W. Wolterbeek ◽  
Arie P. Kappetein ◽  
Adriana C. Gittenberger–de Groot
Keyword(s):  
Neural Crest ◽  
Aortic Arch ◽  
Aortic Coarctation ◽  
Coarctation Of The Aorta ◽  
Lower Number ◽  
Descending Aorta ◽  
Aortic Isthmus ◽  
Cardiac Neural Crest ◽  
The Media

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.

scholarly journals An Unusual Association: Total Anomalous Pulmonary Venous Return and Aortic Arch Obstruction in Patients with Cat Eye Syndrome

2020 ◽  
Author(s):  
Jason L. Williams ◽  
Marie T. McDonald ◽  
Bryce A. Seifert ◽  
Kristen L. Deak ◽  
Catherine W. Rehder ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Venous Return ◽  
Heart Defects ◽  
Genetic Defect ◽  
Coarctation Of The Aorta ◽  
Interrupted Aortic Arch ◽  
Aberrant Right Subclavian Artery ◽  
Cat Eye Syndrome ◽  
Arch Obstruction ◽  
Anomalous Pulmonary Venous Return

AbstractCat eye syndrome (CES) is a rare genetic defect, characterized by iris colobomas, preauricular skin tags, and anal malformations. Affecting 1 in 150,000 people, this defect is caused by duplication or triplication of the proximal long (q) arm of chromosome 22. Congenital heart disease is associated with CES. One of the most common heart defects in patients with CES is total anomalous pulmonary venous return (TAPVR). We report patients with a rare association of concomitant TAPVR and aortic arch obstruction: one with interrupted aortic arch and the other with coarctation of the aorta with an aberrant right subclavian artery.

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