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Modified technique for uncommon coarctation of the aorta with arch hypoplasia
A true presubclavian coarctation of the aorta with arch hypoplasia without major intracardiac anomaly can result in a surgical dilemma. Theoretically, one can avoid repair through median sternotomy using selective cerebral perfusion and its sequelae since no major intracardiac repair is needed. Repa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146853/ https://www.ncbi.nlm.nih.gov/pubmed/30271017 http://dx.doi.org/10.4103/apc.APC_34_18 |
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author | Kottayil, Brijesh Parayaru Bayya, Praveen R Baquero, Luis Sen, Amitabh C Kumar, Raman K |
author_facet | Kottayil, Brijesh Parayaru Bayya, Praveen R Baquero, Luis Sen, Amitabh C Kumar, Raman K |
author_sort | Kottayil, Brijesh Parayaru |
collection | PubMed |
description | A true presubclavian coarctation of the aorta with arch hypoplasia without major intracardiac anomaly can result in a surgical dilemma. Theoretically, one can avoid repair through median sternotomy using selective cerebral perfusion and its sequelae since no major intracardiac repair is needed. Repair through thoracotomy is technically challenging if arch reconstruction is required and precise surgical planning is required to avoid spinal hypoperfusion and to maintain cerebral perfusion. Moreover, inadequate repair often has resulted in hypoplastic aortic arch or residual coarctation on follow-up requiring future intervention. We have employed a modified surgical repair through thoracotomy avoiding cardiopulmonary bypass to address presubclavian coarctation of the aorta with diffuse arch hypoplasia with theoretically less chance for future stenosis. |
format | Online Article Text |
id | pubmed-6146853 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61468532018-09-28 Modified technique for uncommon coarctation of the aorta with arch hypoplasia Kottayil, Brijesh Parayaru Bayya, Praveen R Baquero, Luis Sen, Amitabh C Kumar, Raman K Ann Pediatr Cardiol How I Do It A true presubclavian coarctation of the aorta with arch hypoplasia without major intracardiac anomaly can result in a surgical dilemma. Theoretically, one can avoid repair through median sternotomy using selective cerebral perfusion and its sequelae since no major intracardiac repair is needed. Repair through thoracotomy is technically challenging if arch reconstruction is required and precise surgical planning is required to avoid spinal hypoperfusion and to maintain cerebral perfusion. Moreover, inadequate repair often has resulted in hypoplastic aortic arch or residual coarctation on follow-up requiring future intervention. We have employed a modified surgical repair through thoracotomy avoiding cardiopulmonary bypass to address presubclavian coarctation of the aorta with diffuse arch hypoplasia with theoretically less chance for future stenosis. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6146853/ /pubmed/30271017 http://dx.doi.org/10.4103/apc.APC_34_18 Text en Copyright: © 2018 Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | How I Do It Kottayil, Brijesh Parayaru Bayya, Praveen R Baquero, Luis Sen, Amitabh C Kumar, Raman K Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title | Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title_full | Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title_fullStr | Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title_full_unstemmed | Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title_short | Modified technique for uncommon coarctation of the aorta with arch hypoplasia |
title_sort | modified technique for uncommon coarctation of the aorta with arch hypoplasia |
topic | How I Do It |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146853/ https://www.ncbi.nlm.nih.gov/pubmed/30271017 http://dx.doi.org/10.4103/apc.APC_34_18 |
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