title: Aortic coarctation in the adult: regarding a case and extra-anatomic bypass approaches.
abstract: The authors describe the operative technique approach and its post-operative course used in an adult patient with coarctation of aorta, in which it was not possible to perform the traditional correction with an end-to-end anastomosis with graft interposition. During the surgery it was necessary to make an extra-anatomic bypass: ascending-descending aorta with an enlarged left posterior-lateral thoracotomy approach. The authors also make a short review of several possible approaches used for extra-anatomic bypass as well as its advantages and drawbacks.
authors.affiliation: Escola Paulista de Medicina- UNIFESP ( Faculdade de Medicina de Jundiaí). marcus.carvalho@sbccv.org.br
authors.forename: Marcus Vinicius Henriques de
authors.initials: MV
authors.lastname: Carvalho
authors.forename: Wilson Lopes
authors.initials: WL
authors.lastname: Pereira
authors.forename: Sylvio Matheus de Aquino
authors.initials: SM
authors.lastname: Gandra
authors.forename: Luiz Antônio
authors.initials: LA
authors.lastname: Rivetti
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D013908:Thoracotomy