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Postoperative aortic isthmus size after arch reconstruction with patch augmentation predicts arch reintervention.
J Thorac Cardiovasc Surg
September 2024
Department of Cardiac Surgery, Boston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass. Electronic address:
Background: Rates of reintervention (RI) after patch-augmented reconstruction for hypoplastic aortic arch (HAA) remain moderately high. We analyzed mid-term outcomes of aortic arch reconstruction to define modifiable reintervention risk factors.
Methods: Excluding Damus-Kaye-Stansel anastomoses and previous arch repair, 338 patients underwent arch reconstruction between 2000 and 2021 at median age of 6 days (interquartile range [IQR], 4-13 days) and a median weight of 3.
The role of 3D technology in the practical education of congenital coarctation and its treatment-a feasibility pilot study.
BMC Med Educ
March 2024
SE3D Center, Semmelweis University, Budapest, Hungary.
Background: Coarctation of the aorta (CoA) is a congenital disease with an incidence of 4 out of 10,000 live births, therefore proper education of its treatment is essential. Understanding the disease and the wide array of treatment options is often difficult. Additive manufacturing technology can be used to produce 3D printed hands-on surgical training tools (HOSTT), which can be used for the education and practical training of CoA.
View Article and Find Full Text PDFLong-Term Outcomes of Ascending Sliding Arch Aortoplasty.
World J Pediatr Congenit Heart Surg
July 2024
Department of Congenital Heart Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Coarctation of the aorta can be associated with significant hypoplasia of the aortic arch. In contrast to patch aortoplasty, ascending sliding arch aortoplasty uses viable autologous tissue for potential growth in children. We reviewed the mid- to long-term outcomes of this technique.
View Article and Find Full Text PDFPatch aortoplasty for supravalvular aortic stenosis in an adult patient: A case report.
Int J Surg Case Rep
April 2024
Department of Cardiovascular Surgery, Yamato Seiwa Hospital, Kanagawa, Japan.
Article Synopsis
- * The patient underwent successful surgery using a bovine pericardial patch, which led to significant improvements in his heart function, indicated by decreased peak velocity and pressure gradient on echocardiography.
- * Although unusual for SVAS to progress in middle age, it can be effectively managed with precise surgical techniques, highlighting the importance of considering coronary artery health during the procedure.
[Complex right cervical aortic arch repair: less is more].
G Ital Cardiol (Rome)
March 2024
S.C. Cardiochirurgia Pediatrica e delle Cardiopatie Congenite, Ospedale Infantile Regina Margherita, Città della Salute e della Scienza, Torino.
Cervical aortic arch is a rare malformation that often has anatomical abnormalities of the supra-aortic trunks and may also be associated with aortic stenosis, aneurysms, or cardiac malformations. To correct them, symptomatic patients undergo surgery, which usually consists of a prosthetic graft repair, aortoplasty patch, or an end-to-end anastomosis. In addition, circulatory arrest and deep hypothermia are often required, as in aortic arch surgery.
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