[Long-term evolution of a thoraco-abdominal cryopreserved arterial allograft].
We report a case of thoraco-abdominal pseudo-coarctation which developed late after implantation of a cryopreserved arterial allograft. The allograft was placed in a thoraco-abdominal position to treat an aorto-esophageal fistula after colonic esophagoplasty. Follow-up was free of complications for eight Years. The pseudo-coarctation was discovered during the evaluation of hypertension. Surgical treatment involved transdiaphragmatic bypass between the thoracic and infra-renal abdominal aorta. Arterial pressure immediately returned to normal. Twelve Months later, the patient is alive and well with normal blood pressure. A review of the literature revealed rare cases of arterial allograft with a description of the long-term outcome.
Blin
V
V
Service de Chirurgie Cardiovasculaire et Thoracique, CHU, 4, rue Larrey, 49033, Angers Cedex 01.
Picquet
J
J
Jousset
Y
Y
Papon
X
X
Enon
B
B
D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery*; D001017:Aortic Coarctation / Q000209:etiology / Q000601:surgery; D015925:Cryopreservation; D004944:Esophagoplasty / Q000009:adverse effects; D006801:Humans; D008297:Male; D014184:Transplantation, Homologous / Q000502:physiology*; D016896:Treatment Outcome