Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach
2006

New Surgical Approach for Aortic Coarctation in Adults

Sample size: 4 publication Evidence: moderate

Author Information

Author(s): Yilmaz Mert, Polat Bulent, Saba Davit

Primary Institution: Uludag University, Bursa, Turkey

Hypothesis

Can single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies be performed safely?

Conclusion

Single-stage repair of adult aortic coarctation with concomitant cardiovascular lesions can be performed safely using this technique.

Supporting Evidence

  • All patients survived the operation and were alive with patent bypass at a mean follow-up of 36 months.
  • No graft-related complications occurred, and there were no instances of stroke or paraplegia.
  • Length of ICU stays of the patients were less than 48 hours.
  • Left ventricular hypertrophy regressed in all patients.

Takeaway

Doctors found a new way to fix a heart problem in adults that makes it easier and safer to treat multiple issues at once.

Methodology

Four adult patients underwent Anatomic left-sided short aortic bypass operation for complex aortic coarctation through median sternotomy using deep hypothermic circulatory arrest.

Limitations

The technique may be limited by extensive calcification at the arcus aorta.

Participant Demographics

Four adult patients, including a 27-year-old male, a 56-year-old male, a 50-year-old male, and a 16-year-old boy.

Digital Object Identifier (DOI)

10.1186/1749-8090-1-18

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