U. Chowdhury, Niwin George, L. Sankhyan, Sukhjeet Singh, A. Chauhan, Sreenita Chowdhury
{"title":"Ascending-to-supraceliac abdominal aortic bypass for an adult coarctation of the aorta: a video presentation","authors":"U. Chowdhury, Niwin George, L. Sankhyan, Sukhjeet Singh, A. Chauhan, Sreenita Chowdhury","doi":"10.5455/im.302644392","DOIUrl":null,"url":null,"abstract":"Among the variety of surgical options available for coarctation of the aorta, the resection and/or graft replacement of the diseased aortic segment and anatomical restoration without residual obstruction is the ideal option [1]. However, such a direct approach may be difficult to perform in late presenters with diminished elasticity and/or calcification of the vessels, extensive collateral formation at different anatomic levels, unusual anatomic features or previous operations [2-7]. Use of supraceliac segment of the abdominal aorta for ascending aorta-to-abdominal aorta bypass has been poorly documented in coarctation of the aorta or interrupted aortic arch presenting in adulthood [8-10]. We report a 42-years-old male patient presenting with isolated interrupted aortic arch undergoing ascending aorta-to-supraceliac abdominal aortic bypass without cardiopulmonary bypass. The postoperative recovery was uneventful. We conclude that ascending aorta-to-abdominal aortic bypass in the supraceliac bare area is a versatile technique in late presenters with coarctation of the aorta and eliminates the complications associated with the anatomical repair.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International medicine (Antioch, Turkey)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/im.302644392","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Among the variety of surgical options available for coarctation of the aorta, the resection and/or graft replacement of the diseased aortic segment and anatomical restoration without residual obstruction is the ideal option [1]. However, such a direct approach may be difficult to perform in late presenters with diminished elasticity and/or calcification of the vessels, extensive collateral formation at different anatomic levels, unusual anatomic features or previous operations [2-7]. Use of supraceliac segment of the abdominal aorta for ascending aorta-to-abdominal aorta bypass has been poorly documented in coarctation of the aorta or interrupted aortic arch presenting in adulthood [8-10]. We report a 42-years-old male patient presenting with isolated interrupted aortic arch undergoing ascending aorta-to-supraceliac abdominal aortic bypass without cardiopulmonary bypass. The postoperative recovery was uneventful. We conclude that ascending aorta-to-abdominal aortic bypass in the supraceliac bare area is a versatile technique in late presenters with coarctation of the aorta and eliminates the complications associated with the anatomical repair.