Aortic arch reconstruction with pulmonary autograft patch in coarctation and interruption of the aorta.
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.
Cetin
Gürkan
G
Department of Cardiovascular Surgery, Istanbul University Institute of Cardiology, Istanbul, Turkey. gurkan.cetin@veezy.com
Tireli
Emin
E
Ozkara
Ahmet
A
Koner
Ozge
O
Erdem
Can Caglar
CC
Söyler
Ilksen
I
Gunay
Ilhan
I
Onursal
Ertan
E
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