Ascending-to-supraceliac abdominal aortic bypass for an adult coarctation of the aorta: a video presentation

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.