Extra-anatomical bypass grafting for coarctation of the aorta associated with annuloaortic ectasia. Long-term outcome.
Two patients each with a rare combination of aortic coarctation and annuloaortic ectasia underwent successful single-stage repair in which the aortic root was reconstructed with a valved conduit, and an extra-anatomical bypass was made by grafting from the ascending to the abdominal aorta. Although the long-term outcome of such a long extra-anatomical bypass graft has not yet been established, the use of the graft for reducing the risk to coarctation-related complications during the early and late postoperative periods appears promising.
Kawada
T
T
First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.
Okada
Y
Y
Mori
T
T
Ootake
H
H
Yamada
M
M
Takaba
T
T
D000328:Adult; D001011:Aorta / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014654:Vascular Patency