Extra-Anatomic Ascending-to-Descending Aortic Bypass Via Right Thoracotomy for Complex Re-Coarctation of the Aorta An Alternative Surgical Approach for Complex Re-Coarctation

Abstract

Ascending-to-descending aortic bypass may be the best approach for complex re-coarctation of the aorta because of adhesions around the coarctation area, risk of spinal cord ischaemia due to aortic cross-clamping and laceration of the recurrent laryngeal nerve. We report a patient with complex re-coarctation of the aorta successfully treated by extra-anatomic ascending-to-descending aortic bypass via right thoracotomy without cardiopulmonary bypass.

Key Words:

• Extra-anatomic bypass
• ascending-descending aortic bypass
• aortic re-coarctation
• right thoracotomy

Additional information

Notes on contributors

B. Harmandar

Dr. B. Harmandar Istanbul University Istanbul Medical Faculty Department of Cardiovascular Surgery 34390, Capa, Istanbul, Turkey Tel.: [phone] Fax: [phone] E-mail: [email protected]