Aortic coarctation in the adult: regarding a case and extra-anatomic bypass approaches.
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.
Carvalho
Marcus Vinicius Henriques de
MV
Escola Paulista de Medicina- UNIFESP ( Faculdade de Medicina de Jundiaí). marcus.carvalho@sbccv.org.br
Pereira
Wilson Lopes
WL
Gandra
Sylvio Matheus de Aquino
SM
Rivetti
Luiz Antônio
LA
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