AI Article Synopsis
- An 18-year-old male with a congenital aortic arch interruption underwent a successful repair using a right thoracotomy approach without cardiopulmonary bypass.
- The surgery involved creating an extra-anatomic bypass between the ascending aorta and the supradiaphragmatic descending aorta, achieving satisfactory results in immediate and two-year follow-ups.
- This new repair technique reduces risks associated with traditional methods, such as stroke and paraplegia, by avoiding extended aortic dissection and allowing better blood flow to the brain and spinal cord during the procedure.
Article Abstract
We outline the case of an 18-year-old male patient with a congenital nonoperated interruption of the aortic arch. A right thoracotomy without cardiopulmonary bypass facilitated repair through an extra-anatomic bypass between the ascending and the supradiaphragmatic descending aorta. Results for the immediate and 2-year radiologic and clinical check-up were satisfactory. The most common complications in anatomic correction are stroke under selective cerebral perfusion, risk of paraplegia, and hemorrhage. We present a new technique for repair of interruption of the aortic arch in adults that avoids the need for extended dissection of the aorta and a partial occlusion clamp during anastomosis and allows for cerebral and medullar perfusion.
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| http://dx.doi.org/10.1016/j.jvs.2010.01.055 | DOI Listing |
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