scholarly journals Coarctation of the Aorta: End-to-End Anastomosis

2002 ◽  
Vol 7 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Robert D.B. Jaquiss
Keyword(s):  
Coarctation Of The Aorta ◽  
End To End

scholarly journals Comparison of polytetrafluoroethylene patch aortoplasty and end-to-end anastomosis for coarctation of the aorta

2003 ◽  
Vol 126 (2) ◽  
pp. 521-528 ◽  
Author(s):  
Ronald J Walhout ◽  
Jaco C Lekkerkerker ◽  
Gordon H Oron ◽  
Francois J Hitchcock ◽  
Erik J Meijboom ◽  
...  
Keyword(s):  
Coarctation Of The Aorta ◽  
End To End ◽  
Polytetrafluoroethylene Patch

scholarly journals Reply to the Editor concerning: Resection and end-to-end anastomosis versus subclavian flap angioplasty for treatment of coarctation of the aorta in infancy

1991 ◽  
Vol 102 (1) ◽  
pp. 154-155 ◽  
Author(s):  
Jacques A.M. van Son ◽  
Wim N.J.C. van Asten ◽  
Henk J.J. van Lier ◽  
Otto Daniëls ◽  
Stefan H. Skotnicki ◽  
...  
Keyword(s):  
Coarctation Of The Aorta ◽  
End To End

scholarly journals Surgery for aortic re-coarctation in children less than 10 years old. A single center experience in Siberia, Russia

2021 ◽  
Author(s):  
Oleg Egunov ◽  
Evgeny V. Krivoshchekov ◽  
Frank Cetta ◽  
Alexander Sokolov ◽  
Evgenii A. Sviazov ◽  
...  
Keyword(s):  
Cerebral Perfusion ◽  
Surgical Repair ◽  
Primary Repair ◽  
Coarctation Of The Aorta ◽  
Perfusion Technique ◽  
Single Center Experience ◽  
Initial Surgery ◽  
End To End ◽  
Initial Correction ◽  
Antegrade Cerebral Perfusion

Background: Persistence or recurrence of stenosis is a complication of initial coarctation repair. This study aims to report short-term outcomes of surgical management of recurrent coarctation and initial repair analysis. Methods: We retrospectively reviewed our experience with 51 patients undergoing recoarctation surgical repair between 2008 and 2019 using antegrade cerebral perfusion technique. Results: Surgical correction included prosthetic patch aortoplasty in 23 (45%), resection with wide end-to-end anastomosis in 15 (29%) and a tube interposition graft in 13 (25%) patients. Median age at initial correction and reintervention were 12 month and 9 years. Median interval from primary repair to reintervention was 60 months. Initial repair analysis revealed 33% of patients had initial correction in the neonatal period, 72,5% of patients were done via a left thoracotomy approach and 63% of patients had end-to-end anastomosis at initial surgery. Conclusion: Our study demonstrates that surgical repair of recurrent coarctation of the aorta using antegrade cerebral perfusion technique can be performed safely and with excellent results.

Appraisal of Resection and End-to-End Anastomosis for Repair of Coarctation of the Aorta in Infancy: Preference for Resection

1989 ◽  
Vol 48 (4) ◽  
pp. 496-502 ◽  
Author(s):  
Jacques A.M. van Son ◽  
Otto Daniëls ◽  
Josef G. Vincent ◽  
Henk J.J. van Lier ◽  
Leon K. Lacquet
Keyword(s):  
Coarctation Of The Aorta ◽  
End To End

Left arm structure and function late after subclavian flap repair of aortic coarctation in childhood

2019 ◽  
Vol 29 (7) ◽  
pp. 856-861 ◽  
Author(s):  
Mark R. Dennis ◽  
Anne Cusick ◽  
Jacinta Borilovic ◽  
Calum Nicholson ◽  
Tanya Derwin ◽  
...  
Keyword(s):  
Grip Strength ◽  
Muscle Mass ◽  
Upper Limb ◽  
Functional Performance ◽  
Adult Congenital Heart Disease ◽  
Coarctation Of The Aorta ◽  
Self Report ◽  
Artery Ligation ◽  
Flap Repair ◽  
End To End

AbstractObjectives:Concerns exist over the long-term consequences of subclavian artery ligation in subclavian flap repair for coarctation of the aorta. We sought to analyse upper limb structural and functional performance in adults who have had surgery in childhood for coarctation of the aorta, using either subclavian flap repair or end to end aortic anastomosis.Methods:Two-group observational design using anatomical and upper limb functional performance measures. Purposive sampling from our specialist adult congenital heart disease database of patients who received subclavian flap repair or end to end anastomosis for coarctation of the aorta as children. Upper limb measurements were completed using MRI and blood flow velocity with ultrasound imaging. Bilateral standardised upper limb functional testing of assessment of strength, dexterity and a standardised self-report of upper limb disability was completed.Results:Eighteen right-handed patients, 9 with subclavian repair, (38 ± 12 years, 78% males) were studied. Age at repair was 4.7 ± 5.9 years; mean time from initial repair 32 ± 9 years. The subclavian group had a larger difference between right and left when compared the end to end anastomosis group in: lower arm muscle mass (94.5 ± 42.3 mls versus 37.8 ± 94.5 mls, p = 0.008), lower arm maximal cross-sectional area, (5.9 ± 2.8 cm2 versus 2.9 ± 2.6 cm2, p = 0.038) and grip strength (14.7 ± 8.3 lbs versus 5.9 ± 5.3 lbs, p = 0.016) There were no significant functional differences between groups.Conclusions:In adults with repaired coarctation of the aorta, those with subclavian flap repair had a greater right to left arm muscle mass and grip strength differential when compared to those with end to end anastomosis repair.

Proximal Arch in Left Thoracotomy Repair of Neonatal and Infant Coarctation—How Small Is Too Small?

2019 ◽  
Vol 10 (4) ◽  
pp. 469-474
Author(s):  
Connor P. Callahan ◽  
David Saudek ◽  
Sara Creighton ◽  
Evelyn M. Kuhn ◽  
Michael E. Mitchell ◽  
...  
Keyword(s):  
Comprehensive Evaluation ◽  
Coarctation Of The Aorta ◽  
Rank Test ◽  
Z Score ◽  
Left Thoracotomy ◽  
Kaplan Meier ◽  
Comparison Groups ◽  
End To End ◽  
Patient Weight

Background: We sought to evaluate the relationship between proximal arch hypoplasia and reintervention for left thoracotomy repair of coarctation of the aorta. Methods: This was a retrospective review of 153 consecutive neonates and infants undergoing left thoracotomy and extended end-to-end repair of coarctation from January 1, 2000, to January 1, 2014, at a single center with exclusion of single ventricle–palliated patients. Primary outcome was reintervention evaluated with respect to five definitions of proximal arch hypoplasia. Results: Median follow-up was 7.2 years. Reintervention occurred in eight (5.2%) patients, with 50% of patients undergoing re-intervention in the first six months after their index operation. Using Kaplan-Meier analysis and log-rank test, with hypoplasia defined by weight, hypoplasia was not associated with increased reintervention for arch size < patient weight (in kilograms; P = .24) or for arch size < patient weight (in kilograms) +1 ( P = .02, higher freedom from reintervention in hypoplasia group). For each of the five comparison groups, freedom from reintervention was similar between the groups with and without proximal arch hypoplasia: (1) z-score < −2 versus ≥−2 ( P = .72), (2) z-score < −3 versus ≥−3 ( P = .95), and (3) z-score < −4 versus ≥−4 ( P = .17). Conclusion: In our cohort of patients with left thoracotomy and extended end-to-end repair of coarctation, proximal arch hypoplasia, defined by various weight-based or z-score thresholds, was not associated with reintervention. While this may imply value to a more liberal use of thoracotomy, confirmation requires longer term follow-up with a more comprehensive evaluation of the patients and their arches.

Subclavian flap aortoplasty for infant coarctation of the aorta

2021 ◽  
Keyword(s):  
Gold Standard ◽  
Aortic Coarctation ◽  
Standard Treatment ◽  
Coarctation Of The Aorta ◽  
Long Term Outcomes ◽  
Descending Aorta ◽  
Technical Aspects ◽  
Video Tutorial ◽  
End To End

Aortic resection with an extended end-to-end anastomosis is the surgical gold standard treatment for infant aortic coarctation and has excellent early and long-term outcomes. Subclavian flap aortoplasty is an alternative surgical technique that offers some advantages because there is no need to do extensive dissection and mobilization of the aortic arch and descending aorta as required in an extended end-to-end anastomosis. This video tutorial illustrates the technical aspects of subclavian flap aortoplasty in an infant.

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