title: Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy.
abstract: The descending aortic coarctation is often difficult to anatomically reconstruct. We report two cases of ascending aorta to abdominal aorta bypass without laparotomy or thoracotomy. This approach enabled us to avoid anastomosis close to the inflammatory lesion and left thoracotomy causing bleeding from the collateral vessels, and to allow concomitant cardiac procedures to be performed. The graft contact with the intestines can be preventable by the retroperitoneal approach. This technique is useful for the selective patients.
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Nagoya, Aichi, Japan.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Terada
authors.affiliation: Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Aichi, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yuasa
authors.affiliation: Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Aichi, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hasegawa
authors.affiliation: Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Aichi, Japan.
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Horiuchi
authors.affiliation: Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Aichi, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Nakata
authors.affiliation: Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Aichi, Japan.
authors.forename: Kenzo
authors.initials: K
authors.lastname: Yasuura
keywords: coarctation of the descending aorta; extraanatomical bypass; retro-peritoneal approach