[Extra-anatomic bypass for complex aortic coarctation in adults].
Zhonghua Wai Ke Za Zhi
; 50(2): 124-7, 2012 Feb 01.
Article
em Zh
| MEDLINE
| ID: mdl-22490349
ABSTRACT
OBJECTIVE:
To demonstrate an effective operation of extra-anatomic bypass for complex aortic coarctation in adults.METHODS:
Between July 1997 and October 2010, 51 patients underwent extra-anatomic aortic bypass. There were 39 male and 12 female patients. Mean age was (40 ± 14) years (ranging from 18 to 63 years). Operative technique of extra-anatomic bypass consisted of performing an ascending-to-descending or abdominal or femoral aorta bypass (8, 39 and 4 patients). Concomitant procedures were performed in 38 patients 10 isolated aortic valve replacements (AVR), 11 aortic root replacements (Bentall), 4 ascending aorta replacements including 3 concomitant AVR, 5 mitral valve replacements including 3 concomitant AVR, 4 ventricular septal defect correcting with AVR, and 4 coronary artery bypass graft.RESULTS:
Mean follow-up time was (30 ± 9) months (ranging from 5 to 60 months). Two patients were reoperated for hemorrhage in descending aorta anastomosis, one of whom was dead of multiple organ failure in perioperative period. Upper-extremity blood pressure after coarctation correction with extra-anatomic aortic bypass was significantly improved (< 10 mmHg, 1 mmHg = 0.133 kPa). Arterial hypertension was well improved, except 10 patients controlled with less drug therapy. All grafts were patent without obstruction or pseudoaneurysm formation in the follow-up period evaluated by vascular ultrasound and computed tomographic angiogram.CONCLUSION:
Extra-anatomic aortic bypass is a safe and effective option for complex aortic coarctation in adults.
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Base de dados:
MEDLINE
Assunto principal:
Coartação Aórtica
/
Implante de Prótese Vascular
Idioma:
Zh
Ano de publicação:
2012
Tipo de documento:
Article