title: Treatment of complex coarctation of aorta with hypoplastic transverse aortic arch using left carotid artery flap.
abstract: Coarctation of aorta associated with severe hypoplastic aortic arch and ductus arteriosus dependent, often combined with complex cardiac malformations, should be looked upon as bordering of hypoplastic left heart syndrome. The crucial and first objective is the adequate reconstruction of aortic arch, continuing with the repair of cardiac malformations. The surgical treatment making resection of the coarctation segment combined with left carotid flap plasty is a surgical alternative, useful in patients with this complex anatomic variant.
authors.affiliation: Department of Congenital Heart Surgery, University Hospital La Fe, Valencia, Spain.
authors.forename: Elkin J
authors.initials: EJ
authors.lastname: Arrieta
authors.forename: Félix Serrano
authors.initials: FS
authors.lastname: Martínez
authors.forename: Javier
authors.initials: J
authors.lastname: Mayol
authors.forename: José M
authors.initials: JM
authors.lastname: Caffarena
mesh_terms: D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000473:pathology / Q000601:surgery*; D006328:Cardiac Catheterization; D002339:Carotid Arteries / Q000637:transplantation*; D015150:Echocardiography, Doppler; D006801:Humans; D007231:Infant, Newborn; D013524:Surgical Flaps; D016896:Treatment Outcome