Combined Ascending-Abdominal Aortic Bypass and Aortic Valve Replacement for Residual Aortic Coarctation
10.4326/jjcvs.43.1
- VernacularTitle:上行大動脈-腹部大動脈バイパス・大動脈弁置換術を同時に施行した遺残大動脈縮窄症・大動脈弁閉鎖不全症の1例
- Author:
Tasuku Kadowaki
;
Yoshihiro Oshima
;
Ayako Maruo
;
Tomomi Hasegawa
;
Hironori Matsuhisa
;
Rei Noda
- Publication Type:Journal Article
- Keywords:
residual coarctation;
extra-anatomical bypass;
ascending-abdominal aorta bypass;
aortic valve replacement
- From:Japanese Journal of Cardiovascular Surgery
2014;43(1):1-4
- CountryJapan
- Language:Japanese
-
Abstract:
Extra-anatomical aortic bypass through median sternotomy for aortic recoarctation allows concomitant repair of associated cardiac defects while avoiding potential complications of anatomic repair, including hemorrhage, bleeding from adhesions, nerve damage and spinal cord ischemia. We describe here the case of a 13-year-old boy who presented with aortic regurgitation and aortic recoarctation after two previous anatomic repairs with a prosthetic graft through thoracotomies. Ascending-abdominal aortic bypass and aortic valve replacement (AVR) were performed concomitantly through a median sternotomy. Extra-anatomical aortic bypass through a median sternotomy is useful for aortic recoarctation. Careful observation is required for younger patients.
