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Paradigm Shift in the Management of Isolated Interrupted Aortic Arch in Adulthood. | LitMetric

AI Article Synopsis

  • Interrupted aortic arch (IAA) is a rare congenital heart defect, with few adult survivors, requiring complex surgical reconstruction despite risks.
  • Patients often have other congenital heart issues that complicate treatment.
  • The review explores various treatment options for IAA and proposes a step-by-step endovascular management approach.

Article Abstract

An interrupted aortic arch (IAA) is a rare type of congenital heart disease, and few patients survived into the adulthood. Surgical reconstruction is still the recommended approach, despite its complexity and considerable complication. In addition, patients with IAA usually suffer from several other important congenital heart anomalies, which increase the complexity of surgical management of IAA. Although endovascular therapy has replaced surgery in the treatment of the majority of non-IAA, its applicability in IAA is still matter of debate. In the present review, we have discussed about various therapeutic solutions of IAA, and present a stepwise approach for its endovascular management.

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Source
http://dx.doi.org/10.1016/j.cpcardiol.2020.100717DOI Listing

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