Thorac Cardiovasc Surg 2005; 53(4): 257-258
DOI: 10.1055/s-2005-865688
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

Repair of Recurrent Coarctation Using an Ascending Aortic Autograft

I. Martinovic2 , R. Moosdorf2 , S. Lindemann2 , R. Hennequin1 , E. Belli1 , A. Serraf1
  • 1Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, Paris Sud University, Paris, France
  • 2Department of Cardiothoracic Surgery, Philipps University Marburg, Marburg, Germany
Further Information

Publication History

Received March 8, 2005

Publication Date:
22 July 2005 (online)

Abstract

Results of aortic arch repair for interrupted aortic arch or aortic coarctation have considerably improved. However, re-stenosis or aneurysm formation is a common complication requiring complex re-interventions or even extra-anatomic bypass grafting. In two patients with recurrent coarctation, the use of cardiopulmonary bypass was mandatory, in one due to the concomitant repair of the intra-cardiac defect, in the other due to the small aortic arch, the long segment aortic coarctation and the small diameter of the supra-aortic vessels. In both patients a segment of the ascending aorta was interposed between the distal aortic arch and the proximal descending aorta with uneventful postoperative courses and freedom from pathological findings at 1 year and 6 months follow-up. In patients undergoing complex congenital heart surgery involving the ascending aorta, a segment of the autologous ascending aorta may be used to repair recurrent isthmic stenosis, avoiding the use of any foreign material.

References

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OA Dr. med. Ivo Martinovic

Department of Cardiothoracic Surgery
Philipps University Marburg

Baldinger Straße 6

35033 Marburg

Germany

Phone: + 4964212862122

Fax: + 49 6 42 12 86 89 52

Email: martinov@med.uni-marburg.de