[Interposition of a prosthetic graft between the ascending aorta and the abdominal aorta in the treatment of complicated or longstanding coarctations in adults].
Although the direct approach to the aortic isthmus is unquestionable for an isolated coarctation of the thoracic aorta, recurrent coarctations of coarctation with associated cardiac lesions require a concomitant procedure, raise difficult surgical problems and expose to a high operative risk. Another technique consists of performing an ascending aorta-abdominal aorta by-pass, with a prosthetic tube. From 1977 to 1988, this technique was performed in 8 patients: 3 with recurrent coarctations, 4 with coarctation associated with a surgical aortic insufficiency (2 ascending aortic aneurysms with aortic insufficiency) and 1 with abdominal aorta coarctation. The mean age was 48.3 years (range from 31 to 72 years), the mean follow-up was 44.3 months (range from 4 months to 10 years 5 months). There was no mortality and no morbidity during the follow-up. The functional result is good, without high blood pressure and with no blood pressure difference between the arms and the legs. Postoperative angiographies showed that all the by-passed were patent.
Robin
J
J
Service de Chirurgie Thoracique et Cardiovasculaire A, Hôpital Cardio-Vasculaire et Pneumologique Louis-Pradel, Lyon.
Courthaliac
A
A
Lehot
J J
JJ
Hercule
C
C
Chassignolle
J F
JF
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence
Interposition d'un greffon prothétique entre l'aorte ascendante et l'aorte abdominale dans le traitement des coarctations de l'adulte compliquées ou vieillies.