One-stage repair of aortic isthmus atresia, aortic arch hypoplasia and ascending aorta aneurysm via midline sternotomy and normothermic perfusion.
One-stage repair of aortic isthmus atresia, aortic arch hypoplasia and ascending aorta aneurysm was performed via a standard midline sternotomy. Ascending aortoplasty was performed during a 19-min cardiac arrest. With the heart beating and continuous normothermic perfusion of the upper and lower part of the body, the aortic arch was then enlarged using the Amato technique and the harvested ascending aorta wall as autologous patch. A classical Crafoord procedure then restored continuity between the aortic arch and the descending thoracic aorta.
Department of Cardiovascular Surgery, Hôpital Laënnec, 44093 Nantes, France. olivier.baron@chu-nantes.fr
O
O
Baron
J P
JP
Rémadi
M
M
Lefevre
D
D
Duveau
D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D002648:Child; D006801:Humans; D008297:Male; D013249:Sternum / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000379:methods