title: On-Pump Beating Heart Extraanatomical Ascending-Descending Aortic Bypass Using a Beating Heart Positioner in an Adult with Aortic Coarctation.
abstract: The prognosis of uncorrected aortic coarctation is poor due to development of heart failure. We performed an on-pump beating heart extraanatomical ascending-descending aortic bypass using a beating heart positioner in an adult with coarctation complicated by severe left ventricular hypertrophy. A 51-year-old woman was referred with severe hypertension. Computed tomography demonstrated severe distal aortic arch narrowing. Coarctation of the aorta was diagnosed. A posterior pericardial beating heart extraanatomical bypass via median sternotomy was performed from the ascending to descending aorta using a heart positioner. Her postoperative course was uneventful and blood pressure was normal on a low-dose beta-blocker.
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Nagano, Nagano, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Doi
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Nagano, Nagano, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Gyoten
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan.
authors.forename: Saori
authors.initials: S
authors.lastname: Nagura
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan.
authors.forename: Akio
authors.initials: A
authors.lastname: Yamashita
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Fukahara
authors.affiliation: Department of Cardiovascular Surgery, Bando Hospital, Shimo-niikawa-gun, Toyama, Japan.
authors.forename: Keiju
authors.initials: K
authors.lastname: Kotoh
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Yoshimura
keywords: aortic coarctation; extraanatomical ascending-descending aortic bypass; on-pump beating heart surgery