title: Ascending aorta-to-descending aorta bypass via right thoracotomy for the re-coarctation of the aorta: an alternative surgical approach for re-coarctation.
abstract: Surgical treatment of aortic coarctation is performed with low postoperative complication rates. However, some patients may require additional surgical interventions due to stenosis or re-coarctation of the aorta, and ascending-to-descending aortic bypass via right thoracotomy is a valid alternative approach in the adult population group. Risk of massive intraoperative bleeding due to adhesions at the previous left thoracotomy site and the risk of spinal cord ischemia due to aortic cross-clamping or injury to the recurrent laryngeal nerve may be avoided with right thoracotomy in such cases. In this report, we present an adult patient with re-coarctation of the aorta who was successfully treated by extra-anatomic ascending-to-descending aortic bypass via right thoracotomy without cardiopulmonary bypass.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. drbugraharmandar@yahoo.com
authors.forename: Bugra
authors.initials: B
authors.lastname: Harmandar
authors.forename: Murat
authors.initials: M
authors.lastname: Ugurlucan
authors.forename: Omer Ali
authors.initials: OA
authors.lastname: Sayin
authors.forename: Ulku Tuba
authors.initials: UT
authors.lastname: Tohumcu
authors.forename: Alper
authors.initials: A
authors.lastname: Toker
authors.forename: Emin
authors.initials: E
authors.lastname: Tireli
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods; D003937:Diagnosis, Differential; D005221:Fatigue / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008297:Male; D011859:Radiography; D012086:Reoperation; D013908:Thoracotomy