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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=3;spage=275;epage=277;aulast=Kottayil |
| _version_ | 1818486482832195584 |
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| author | Brijesh Parayaru Kottayil Praveen R Bayya Luis Baquero Amitabh C Sen Raman K Kumar |
| author_facet | Brijesh Parayaru Kottayil Praveen R Bayya Luis Baquero Amitabh C Sen Raman K Kumar |
| author_sort | Brijesh Parayaru Kottayil |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-10T16:23:37Z |
| format | Article |
| id | doaj.art-3705d784924d4f989fabab17bf339886 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-12-10T16:23:37Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-3705d784924d4f989fabab17bf3398862022-12-22T01:41:45ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692018-01-0111327527710.4103/apc.APC_34_18Modified technique for uncommon coarctation of the aorta with arch hypoplasiaBrijesh Parayaru KottayilPraveen R BayyaLuis BaqueroAmitabh C SenRaman K KumarA 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.http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=3;spage=275;epage=277;aulast=KottayilAortacoarctationhypoplasiathoracotomy |
| spellingShingle | Brijesh Parayaru Kottayil Praveen R Bayya Luis Baquero Amitabh C Sen Raman K Kumar Modified technique for uncommon coarctation of the aorta with arch hypoplasia Annals of Pediatric Cardiology Aorta coarctation hypoplasia thoracotomy |
| 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 | Aorta coarctation hypoplasia thoracotomy |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=3;spage=275;epage=277;aulast=Kottayil |
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