Aneurysms after coarctation repair associated with hypoplastic aortic arch: surgical management through median sternotomy.
Aneurysm development after repair of aortic coarctation is not a rare complication, but it is highly related to hypoplasia of the transverse aortic arch. The optimal management of such cases is not clearly established. We propose a single-stage transmediastinal re-repair using moderate hypothermic cardiopulmonary bypass and antegrade selective cerebral perfusion.
Pacini
Davide
D
Department of Cardiac Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. dpacini@hotmail.com
Bergonzini
Marcello
M
Loforte
Antonino
A
Gargiulo
Gaetano
G
Pilato
Emanuele
E
Di Bartolomeo
Roberto
R
D000293:Adolescent; D000328:Adult; D000783:Aneurysm / Q000209:etiology* / Q000601:surgery*; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery*; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013249:Sternum / Q000601:surgery