title: Aortic arch reconstruction with pulmonary autograft patch in coarctation and interruption of the aorta.
abstract: The surgical management of the aortic arch pathologies is still subject to discussion. Primary end-to-end anastomosis has some complications such as bronchial compression, tension in the suture lines, and probability of recurrence. On the other hand, patch aortoplasties combined with end-to-end anastomosis carry the risk of aneurysm formation and recurrence. Considering the growth potential, pulmonary autograft patch use in aortic arch reconstructions has recently been introduced into clinical practice. In this study, we present the early findings of combined end-to-end anastomosis and pulmonary autograft patchplasty procedure in six patients. According to our experience the technique applied in this report seems to be more advantageous than other conventional approaches.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Institute of Cardiology, Istanbul, Turkey. gurkan.cetin@veezy.com
authors.forename: Gürkan
authors.initials: G
authors.lastname: Cetin
authors.forename: Emin
authors.initials: E
authors.lastname: Tireli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ozkara
authors.forename: Ozge
authors.initials: O
authors.lastname: Koner
authors.forename: Can Caglar
authors.initials: CC
authors.lastname: Erdem
authors.forename: Ilksen
authors.initials: I
authors.lastname: Söyler
authors.forename: Ilhan
authors.initials: I
authors.lastname: Gunay
authors.forename: Ertan
authors.initials: E
authors.lastname: Onursal
mesh_terms: D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D011651:Pulmonary Artery / Q000637:transplantation*; D012008:Recurrence; D014182:Transplantation, Autologous; D016896:Treatment Outcome