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H. Connolly, H. Schaff, U. Izhar, J. Dearani, C. Warnes, T. Orszulak (2001)
Posterior Pericardial Ascending-to-Descending Aortic Bypass: An Alternative Surgical Approach for Complex Coarctation of the AortaCirculation: Journal of the American Heart Association, 104
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Figure 1. The pro-operative multidetector computed tomography images. Arrow indicates coarctation of aorta; asterisk, ascending aorta; and triangle
Ren Wang, Li-Zhong Sun, Xiao-peng Hu, W. Ma, Q. Chang, Junming Zhu, Yong-min Liu, Cuntao Yu (2010)
Treatment of complex coarctation and coarctation with cardiac lesions using extra-anatomic aortic bypass.Journal of vascular surgery, 51 5
Circulation: Cardiovascular Imaging CARDIOVASCULAR IMAGES Treated With Extra-Anatomic Aortic Bypass Approach 41-year-old male was admitted to our hospital because of chest distress Tao Zhang, MD and thoracodynia. On physical examination, there were significant differ - Chen Juan, MM A ences in blood pressure between the limbs: 175/97 mm Hg (right upper Wan Cheng Yu, MD limb), 123/100 mm Hg (left upper limb), 117/79 mm Hg (right lower limb), 107/77 Hai Zhou Zhang, MD mm Hg (left lower limb); transthoracic echocardiography showed no intracardiac Cheng Wei Zou, MD deformity; multidetector computed tomography demonstrated severe coarctation of the aorta (COA) between the left common carotid artery; and the left subclavian artery. The arteries of thoracic wall have dilated markedly. The minimum lumen area of coarctation is 1.4×1.3 mm (Figure 1). The procedure was performed un- der cardiopulmonary bypass. A 14-mm Dacron graft was used for an end-to-side anastomosis to thoracic descending aorta and the right side of the ascending aorta using a continuous 4 to 0 polypropylene suture (Figure 2). Immediately, the ankle- brachial pressure gradient has significantly reduced post-operation (preoperative 60 mm Hg versus postoperative 20 mm Hg). The patient was discharged symptom free 7 days post-operation. Post-operative multidetector computed tomography
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Feb 1, 2020
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