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Ascending Aorta‐to‐Descending Aorta Bypass via Right Thoracotomy for the Re‐Coarctation of the Aorta: An Alternative Surgical Approach for Re‐Coarctation
Author(s) -
Harmandar Bugra,
Ugurlucan Murat,
Sayin Omer Ali,
Tohumcu Ulku Tuba,
Toker Alper,
Tireli Emin
Publication year - 2007
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00342.x
Subject(s) - medicine , thoracotomy , ascending aorta , descending aorta , cardiopulmonary bypass , coarctation of the aorta , surgery , aorta , stenosis , thoracic aorta , cardiology
Surgical treatment of aortic coarctation is performed with low postoperative complication rates. However, some patients may require additional surgical interventions due to stenosis or re‐coarctation of the aorta, and ascending‐to‐descending aortic bypass via right thoracotomy is a valid alternative approach in the adult population group. Risk of massive intraoperative bleeding due to adhesions at the previous left thoracotomy site and the risk of spinal cord ischemia due to aortic cross‐clamping or injury to the recurrent laryngeal nerve may be avoided with right thoracotomy in such cases. In this report, we present an adult patient with re‐coarctation of the aorta who was successfully treated by extra‐anatomic ascending‐to‐descending aortic bypass via right thoracotomy without cardiopulmonary bypass.