Congenital native interruption of aortic arch in an adult: extra-anatomic approach by right-side thoracotomy.
We outline the case of an 18-year-old male patient with a congenital nonoperated interruption of the aortic arch. A right thoracotomy without cardiopulmonary bypass facilitated repair through an extra-anatomic bypass between the ascending and the supradiaphragmatic descending aorta. Results for the immediate and 2-year radiologic and clinical check-up were satisfactory. The most common complications in anatomic correction are stroke under selective cerebral perfusion, risk of paraplegia, and hemorrhage. We present a new technique for repair of interruption of the aortic arch in adults that avoids the need for extended dissection of the aorta and a partial occlusion clamp during anastomosis and allows for cerebral and medullar perfusion.
Henaine
Roland
R
Department of Cardiac Surgery C, Cardiologic Hospital Louis Pradel, Lyon, France. roland.henaine@chu-lyon.fr
Lachhab
Fadoua
F
Vergnat
Mathieu
M
Wautot
Fabrice
F
Ninet
Jean
J
Nloga
Joseph
J
D000293:Adolescent; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002560:Cerebrovascular Circulation; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D013908:Thoracotomy; D016896:Treatment Outcome