Subclavian flap aortoplasty and preservation of left upper extremity circulation using an interposition graft.
J Card Surg
; 27(3): 381-3, 2012 May.
Article
em En
| MEDLINE
| ID: mdl-22497337
ABSTRACT
OBJECTIVES:
To introduce a surgical technique to maintain left upper limb blood flow after subclavian flap aortoplasty (SFA).METHODS:
Five patients (9 to 23 months of age) with a diagnosis of long-segment aortic coarctation underwent conventional SFA. A Gore-tex graft was interposed between the stump and the proximal descending aorta to maintain perfusion of subclavian artery.RESULTS:
All patients had a patent Gore-tex graft and normal blood flow of the subclavian artery and left upper limb. One patient expired and four others were discharged with a mean follow-up of 48 months. On follow-up all patients had normal development of the left upper limb and no signs of limb ischemia. Echo findings revealed normal arch flow with normal flow in the Gore-tex graft and left upper extremity.CONCLUSIONS:
Interposing a Gore-tex graft between the subclavian artery stump and proximal descending aorta concomitant with SFA can be safely performed in infants with long-segment aortic coarctation, with preservation of left upper extremity circulation.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Coartação Aórtica
/
Braço
/
Politetrafluoretileno
/
Artéria Subclávia
/
Retalhos Cirúrgicos
/
Prótese Vascular
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Implante de Prótese Vascular
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
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Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
J Card Surg
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Irã