Mid- to long-term outcomes of median sternotomy ascending-descending thoracic aortic bypass grafting for complex aortic coarctation
- VernacularTitle:经胸骨正中切口升主动脉-胸降主动脉旁路移植术治疗复杂主动脉弓缩窄中远期结果
- Author:
Yongqiang JIN
1
;
Lixin FAN
1
;
Enrui ZHANG
1
;
Xiaoya ZHANG
1
;
Hui XUE
1
;
Zhonghua XU
1
;
Qingyu WU
1
Author Information
1. Heart Center, The First Hospital of Tsinghua University, Beijing, 100016, P. R. China
- Publication Type:Journal Article
- Keywords:
Ascending-descending thoracic aortic bypass grafting;
coarctation of aorta;
median sternotomy;
mid- to long-term outcomes
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(07):963-967
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the mid- to long-term follow-up results of ascending aorta (AAO)-descending thoracic aorta (DTA) bypass grafting via median sternotomy incision for the treatment of complex aortic arch coarctation. Methods A retrospective analysis was conducted on the clinical data of patients with complex aortic arch coarctation who underwent AAO-DTA bypass grafting via median sternotomy incision at the First Hospital of Tsinghua University from August 2004 to May 2017. Results A total of 7 patients were enrolled, including 4 males and 3 females, aged (13.3±4.6) years, and weighted (40.2±12.2) kg. Six (85.7%) patients had concomitant upper limb hypertension. Four patients were aortic arch coarctation combined with intracardiac malformations, two were post-operative restenosis, and 1 was post-operative restenosis combined with intracardiac malformation. All patients underwent surgery under cardiopulmonary bypass. There were no perioperative deaths or major complications. The pre-operative upper-lower limb pressure difference was (39.3±19.2) mm Hg, which decreased to (2.9±2.7) mm Hg post-operatively (P<0.01). The follow-up period was (14.9±5.9) years. There were no long-term deaths or artificial graft-related complications. Except for one patient who still had mild hypertension, the blood pressure of the remaining patients returned to normal. Conclusion AAO-DTA bypass grafting via median sternotomy incision for the treatment of complex aortic arch coarctation can effectively reduce upper limb blood pressure and the upper-lower limb arterial pressure difference, has fewer complications, and demonstrates satisfactory mid- to long-term efficacy.
