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A Journal on Surgery

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Chirurgia 2011 April;24(2):81-3

language: English

Extra-anatomic correction in a complex form of aortic coarctation

Dell’Amore A., Alberini A., Noera G.

Department of Cardiovascular Surgery, Villa Maria Cecilia Hospital, Cotignola, Lugo, Ravenna, Italy


The surgical correction of complex form of coarctation in adults may be difficult. The optimal treatment strategy is still controversial. Anatomic repair usually needs extensive dissection of the aorta, cardiopulmonary bypass and in case of associated aortic arch hypoplasia deep hypothermic circulatory arrest with its inherent risks. We report a case of an adult patient with aortic coarctation and hypoplastic aortic arch underwent an extra-anatomic bypass between the left subclavian artery and the descending thoracic aorta. In this kind of patient this approach is simple and reproducible, does not need dissection of aortic arch and coarctation segment, avoiding cardiopulmonary bypass and circulatory arrest. Perioperative risks are minimized without compromising the surgical result.

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