scholarly journals Extra-anatomic aortic bypass combined with Bentall procedure for a complex coarctation and aortic aneurysm

2021 ◽  
Author(s):  
Yongqiang Jin ◽  
Rui Liu ◽  
guoliang chen ◽  
Xiaoya Zhang ◽  
Qingyu Wu
Keyword(s):  
Surgical Treatment ◽  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Satisfactory Result ◽  
Aortic Coarctation ◽  
Effective Procedure ◽  
Aortic Valve Insufficiency ◽  
Bentall Procedure ◽  
Aortic Bypass ◽  
Valve Insufficiency

Surgical treatment of complex coarctation is still a challenge. We performed extra-anatomic aortic bypass and Bentall procedure for a 10-year old boy diagnosed with critical aortic coarctation, aortic aneurysm, and severe aortic valve insufficiency who previously received Switch procedure. The patient is alive and well 52 months postoperatively with a satisfactory result. Extra-anatomic aortic bypass is a safe and effective procedure for patients with complex coarctation.

One-stage repair of aortic coarctation and cardiac pathology via sternotomy

2019 ◽  
Vol 27 (9) ◽  
pp. 738-743
Author(s):  
Eduard R Charchyan ◽  
Anna B Stepanenko ◽  
Nail A Galeev ◽  
Yuri V Belov
Keyword(s):  
Comparative Analysis ◽  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Coarctation ◽  
Aortic Valve Disease ◽  
The Other ◽  
Valve Disease ◽  
Medium Term ◽  
Ascending Aortic Aneurysm ◽  
Aortic Bypass

Background Aortic coarctation is a hereditary disease often accompanied by ascending aortic aneurysm and aortic valve disease. We introduce a single-stage surgical treatment option for patients with aortic coarctation, ascending aortic aneurysm, and aortic valve disease, with a comparative analysis of the results. Methods The study included six patients with aortic coarctation, ascending aortic aneurysm, and aortic valve disease. All operations were performed by a full median sternotomy. For a comparative analysis, the patients were divided into two groups: 3 patients underwent ascending-to-descending aortic bypass, and the other 3 underwent surgical aortic coarctation repair. The short- and medium-term postoperative periods were monitored. The mean duration of monitoring was 27 months. Results When comparing the 2 groups, we observed a tendency for improvement in all intraoperative parameters in the 2nd group. There was no mortality in the postoperative hospital period. One (16.7%) patient died of stroke in the medium-term postoperative period. The other 5 patents showed no signs of procedure-related complications. Conclusion We recommend performing a single-stage procedure for surgical treatment of coarctation of the aorta with concomitant aneurysm of the ascending aorta and aortic valve disease. Compared to ascending-to-descending aortic bypass, surgical repair of aortic coarctation is more physiological, feasible via a sternotomy, and tends to improve intraoperative factors.

Aneurysm of Ascending Aorta and Aortic Valve Insufficiency: Surgical Treatment

1981 ◽  
pp. 424-427
Author(s):  
N. Spampinato ◽  
E. Covino ◽  
P. Oliviero ◽  
P. Stassano ◽  
L. B. Tecchia
Keyword(s):  
Surgical Treatment ◽  
Aortic Valve ◽  
Ascending Aorta ◽  
Aortic Valve Insufficiency ◽  
Valve Insufficiency
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