title: Use of apical suction to facilitate extra-anatomic bypass for recurrent coarctation: a case report.
abstract: The use of apical suction devices has been well described for maintaining satisfactory haemodynamics during off-pump surgical coronary revascularization. Its expanded use has been described in a few other situations. We describe here a case of recurrent coarctation where an extra-anatomic ascending to descending thoracic aorta bypass graft was constructed using cardiopulmonary bypass without arresting the heart, and access and exposure were facilitated by the use of an apical suction device.
authors.affiliation: Department of Cardiothoracic Surgery, The Cardiothoracic Centre, Liverpool, UK. manoj.kudavalli@ctc.nhs.uk
authors.forename: Manoj
authors.initials: M
authors.lastname: Kuduvalli
authors.forename: Colin
authors.initials: C
authors.lastname: Monaghan
authors.forename: Brian M
authors.initials: BM
authors.lastname: Fabri
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D013396:Suction / Q000295:instrumentation* / Q000379:methods