Off-Pump Aortic Bypass for Hypoplastic Arch and Aortic Coarctation Via Anterolateral Thoracotomy

2021 ◽  
Vol 12 (4) ◽  
pp. 557-558
Author(s):  
Li-Qun Chi ◽  
Lin Liang ◽  
Qing-Yu Kong ◽  
Jia-Ji Liu
Keyword(s):  
Aortic Coarctation ◽  
Bypass Surgery ◽  
Uncontrolled Hypertension ◽  
Synthetic Graft ◽  
Off Pump ◽  
Anterolateral Thoracotomy ◽  
Aortic Bypass ◽  
Collateral Vessels ◽  
Aortic Arch Hypoplasia ◽  
Adult Coarctation

We report the case of a 21-year-old woman who was referred with uncontrolled hypertension. Computed tomography angiography revealed aortic arch hypoplasia and severe aortic coarctation. An off-pump ascending-to-descending aortic bypass surgery using synthetic graft was performed via left anterolateral thoracotomy. The patient recovered well and was discharged home uneventfully after five days. This procedure was performed without touching the head vessels or any collateral vessels. We consider this a safe and less invasive alternative technique for adult coarctation patients who have aortic hypoplasia or interrupted aorta.

Off-pump extraanatomic aortic bypass for the treatment of complex aortic coarctation and hypoplastic aortic arch

2007 ◽  
Vol 55 (S 1) ◽  
Author(s):  
F Schoenhoff ◽  
M Pavlovic ◽  
M Schwerzmann ◽  
JP Pfammatter ◽  
TP Carrel ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aortic Coarctation ◽  
Off Pump ◽  
Aortic Bypass ◽  
Hypoplastic Aortic Arch

scholarly journals Off-pump hypoplastic aortic arch ± aortic coarctation repair via median sternotomy using a temporary shunt

2020 ◽  
Vol 31 (5) ◽  
pp. 748-750
Author(s):  
Zohair Al Halees ◽  
Ibrahim Abdullah
Keyword(s):  
Side Effects ◽  
Aortic Arch ◽  
Aortic Coarctation ◽  
Median Sternotomy ◽  
Coarctation Of The Aorta ◽  
Off Pump ◽  
Coarctation Repair ◽  
Temporary Shunt ◽  
Hypoplastic Aortic Arch ◽  
Aortic Arch Hypoplasia

Abstract An off-pump technique was developed to surgically manage the problem of aortic arch hypoplasia frequently associated with coarctation of the aorta and borderline size left-sided structures. The technique was successfully utilized in 5 patients adequately repairing the arch without any side effects.

Off-Pump Extraanatomic Aortic Bypass for the Treatment of Complex Aortic Coarctation and Hypoplastic Aortic Arch

2008 ◽  
Vol 85 (2) ◽  
pp. 460-464 ◽  
Author(s):  
Florian S. Schoenhoff ◽  
Pascal A. Berdat ◽  
Mladen Pavlovic ◽  
Alexander Kadner ◽  
Markus Schwerzmann ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aortic Coarctation ◽  
Off Pump ◽  
Aortic Bypass ◽  
Hypoplastic Aortic Arch

Gender differences in secretion of adipokines off pump coronary bypass surgery (OPCAB)

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
H Loeblein ◽  
O Dzemali ◽  
K Graves ◽  
A Kostorz ◽  
C Meier ◽  
...  
Keyword(s):  
Gender Differences ◽  
Bypass Surgery ◽  
Coronary Bypass ◽  
Coronary Bypass Surgery ◽  
Off Pump

Initial Report of Off-Pump Coronary Artery Bypass Surgery as Sole Therapy for Moderate Ischemic Mitral Regurgitation: Operative and Intermediate-Term Outcome

2005 ◽  
Vol 8 (2) ◽  
pp. 89 ◽  
Author(s):  
Kevin M. Harris ◽  
Avinash Reddy ◽  
Dorothee Aepplii ◽  
Betsy Wilson ◽  
Robert W. Emery
Keyword(s):  
Coronary Artery ◽  
Mortality Rate ◽  
Mitral Regurgitation ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Mortality Rates ◽  
Off Pump ◽  
Moderate Ischemic Mitral Regurgitation ◽  
Pump Coronary Artery Bypass

Background: Patients undergoing on-pump coronary artery bypass surgery (CAB) with coexistent moderate ischemic mitral regurgitation (IMR) have a significant mortality rate compared to patients without MR. The mortality rate is elevated both perioperatively (0%-12% mortality), as well as over a 1- and 2-year postoperative period (15%-25%). It is thought that some patients are best served by off-pump CAB (OPCAB); however, outcomes have not been reported for such patients with coexistent moderate IMR. Methods: We reviewed the independent database of patients undergoing OPCAB between 1995 and 2002 to find 989 patients, 17 (1.7%) of whom had moderate or moderately severe MR. Patients were contacted and clinical and echocardiographic data were obtained. Results: The patient group consisted of 11 men and 6 women (age, 65 15 years). The study group had a PA pressure of 52 14, creatinine of 1.6 0.7, and left ventricular ejection fraction of 43 18. Nine patients (53%) had advanced New York Heart Association (class III-IV) heart failure. Mortality rates perioperatively and at 1, 2, and 3 years were 0%, 6.25% (1/16), 12.5% (2/16), and 38% (4/8), respectively. At the time of this report, no patient had returned for a reparative procedure. Conclusion: In patients felt to be best served by OPCAB with ischemic MR, operative and intermediate mortality rates are remarkably similar to those previously reported for on-pump series. These data underscore the continued need to understand which patients undergoing CAB require mitral valve problems to be addressed at the time of surgery.

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