A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report
Objective: The association of coarctation of aorta (CoA) and coronary artery disease is rare. To formulate single stage safe strategy for redo repair of aortic coarctation and simultaneous coronary artery bypass grafting (CABG). Case presentation: The present case report describes a 55-year-old m...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Center for Scientific Research and Development of Education.
2023-11-01
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| Series: | Heart Vessels and Transplantation |
| Subjects: | |
| Online Access: | http://hvt-journal.com/articles/art431 |
| _version_ | 1797635660119539712 |
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| author | Thakut Gowtham Utkarsh Sanghavi Ishan Gohil Devvrat Desai Jignesh Kothari |
| author_facet | Thakut Gowtham Utkarsh Sanghavi Ishan Gohil Devvrat Desai Jignesh Kothari |
| author_sort | Thakut Gowtham |
| collection | DOAJ |
| description | Objective: The association of coarctation of aorta (CoA) and coronary artery disease is rare. To formulate single stage safe strategy for redo repair of aortic coarctation and simultaneous coronary artery bypass grafting (CABG).
Case presentation: The present case report describes a 55-year-old male, who underwent a redo safe single -stage surgical repair for both pathologies. CoA was tackled by ventral aortic repair followed by coronary artery bypass grafting under cardiopulmonary bypass. The vascular prosthesis was anastomosed to descending thoracic aorta in end-to- side fashion, and it was located posterior to the inferior vena cava through the oblique sinus but inferior to the superior vena cava and curved around the right atrium, anastomosed to ascending aorta.
Conclusion: Ventral aortic repair through a midline approach is our preferred technique for redo surgical repair of CoA. Dual arterial cannulation ensures adequate perfusion of both upper and lower extremities. |
| first_indexed | 2024-03-11T12:24:29Z |
| format | Article |
| id | doaj.art-36e8aa962a514535a34a54e27b4cdfc4 |
| institution | Directory Open Access Journal |
| issn | 1694-7886 1694-7894 |
| language | English |
| last_indexed | 2024-03-11T12:24:29Z |
| publishDate | 2023-11-01 |
| publisher | Center for Scientific Research and Development of Education. |
| record_format | Article |
| series | Heart Vessels and Transplantation |
| spelling | doaj.art-36e8aa962a514535a34a54e27b4cdfc42023-11-06T12:53:14ZengCenter for Scientific Research and Development of Education.Heart Vessels and Transplantation1694-78861694-78942023-11-018110.24969/hvt.2023.431A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case reportThakut Gowtham0https://orcid.org/0000-0002-1284-8872Utkarsh Sanghavi1https://orcid.org/0000-0001-8757-7125Ishan Gohil2https://orcid.org/0000-0002-0573-1211 Devvrat Desai3https://orcid.org/0000-0001-7083-9985Jignesh Kothari4https://orcid.org/0000-0002-7693-2037Department of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, IndiaDepartment of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, IndiaDepartment of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, IndiaDepartment of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, IndiaDepartment of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, IndiaObjective: The association of coarctation of aorta (CoA) and coronary artery disease is rare. To formulate single stage safe strategy for redo repair of aortic coarctation and simultaneous coronary artery bypass grafting (CABG). Case presentation: The present case report describes a 55-year-old male, who underwent a redo safe single -stage surgical repair for both pathologies. CoA was tackled by ventral aortic repair followed by coronary artery bypass grafting under cardiopulmonary bypass. The vascular prosthesis was anastomosed to descending thoracic aorta in end-to- side fashion, and it was located posterior to the inferior vena cava through the oblique sinus but inferior to the superior vena cava and curved around the right atrium, anastomosed to ascending aorta. Conclusion: Ventral aortic repair through a midline approach is our preferred technique for redo surgical repair of CoA. Dual arterial cannulation ensures adequate perfusion of both upper and lower extremities.http://hvt-journal.com/articles/art431coarctation of aortacoronary artery bypass surgerysingle stage surgerysurgery operative procedures |
| spellingShingle | Thakut Gowtham Utkarsh Sanghavi Ishan Gohil Devvrat Desai Jignesh Kothari A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report Heart Vessels and Transplantation coarctation of aorta coronary artery bypass surgery single stage surgery surgery operative procedures |
| title | A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report |
| title_full | A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report |
| title_fullStr | A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report |
| title_full_unstemmed | A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report |
| title_short | A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report |
| title_sort | safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults a case report |
| topic | coarctation of aorta coronary artery bypass surgery single stage surgery surgery operative procedures |
| url | http://hvt-journal.com/articles/art431 |
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