title: [Extra-anatomic aortic bypass for repair of aortic arch diseases in adults].
abstract: Surgical management of aortic arch diseases in the adult are challenging. Use of extra-anatomic conduits are a well established form of treatment. We report a retrospective study of four patients operated on in our institution between 2000 and 2006, using this technique. Two patients had a median sternotomy, one a left thoracotomy and one a right thoracotomy. There were no perioperative mortality and all patients were alive and doing well after a mean follow-up of 19 months. In this subset of patients, surgical treatment should be individualized. In our experience, extra-anatomic bypass is a valuable, effective and safe surgical option.
authors.affiliation: Serviços de Cirurgia Cardiotorácica e de Cardiologia Pediátrica do Hospital de Santa Cruz e Serviço de Neurocirurgia do Hospital Egas Moniz.
authors.forename: M
authors.initials: M
authors.lastname: Marques
authors.forename: M
authors.initials: M
authors.lastname: Abecassis
authors.forename: R
authors.initials: R
authors.lastname: Rodrigues
authors.forename: S
authors.initials: S
authors.lastname: Boshoff
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: R
authors.initials: R
authors.lastname: Anjos
authors.forename: S
authors.initials: S
authors.lastname: Figueiredo
authors.forename: J
authors.initials: J
authors.lastname: Queiroz E Melo
mesh_terms: D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods