Right-sided intrathoracic bypass graft for complex or recurrent coarctation of the aorta.
A simple technique is described for the interposition of a tube graft between the ascending and descending aorta in the right chest. Directing the graft posteriorly preserves the integrity of the pericardium and avoids potential damage to the prosthesis at a subsequent sternotomy for open heart surgery. This procedure was used successfully and without complication in an 18-month-old boy who had undergone two previous operations for coarctation of the aorta, and in a 20-year-old girl with William's syndrome and diffuse hypoplasia of the distal aortic arch.
Karolczak
M A
MA
Royal Liverpool Children's Hospital, UK.
McKay
R
R
Arnold
R
R
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001017:Aortic Coarctation / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D013908:Thoracotomy / Q000379:methods*