Repair of Coarctation-Related Aortic Arch Aneurysm and Ventricular Septal Defect in an Adolescent
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
TEXAS HEART INST
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
A saccular aortic arch aneurysm that is secondary to aortic arch coarctation and that is accompanied by a ventricular septal defect is a rare combination in the adolescent patient. Total simultaneous repair of all of these conditions is desirable, because of the higher morbidity and mortality rates of staged procedures-particularly when resection of the saccular aneurysm is delayed. Herein, we discuss the case of a 16-year-old boy who underwent simultaneous surgical correction of these malformations. With the aid of cardiopulmonary bypass on the beating heart, the coarctation and the aneurysmal segment were resected, and a tubular Dacron graft was interposed. The ascending aorta and femoral artery were both then cannulated to ensure whole-body perfusion during cardiopulmonary bypass. The ventricular septal defect was closed with the patient under cardioplegic arrest. After 70 days, he was discharged from the hospital without sequelae. We conclude that single-staged repair of cardiac abnormalities and of an aortic arch aneurysm that is secondary to coarctation of the aortic arch can be performed safely and effectively in adolescent and adult patients by use of our technique. (Tex Heart Inst J 2008;35(4):466-9)
Açıklama
Anahtar Kelimeler
Aorta/surgery, aortic aneurysm/physiopathology/surgery/ultrasonography, aortic coarctation/complications/physiopathology/surgery/ultrasonography, coronary disease/surgery, magnetic resonance angiography, methods, time factors
Kaynak
TEXAS HEART INSTITUTE JOURNAL
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
35
Sayı
4
