New “right side median” approach for postoperative re-coarctation of the aorta

Anatomic repair of postoperative recurrent coarctation of the aorta is surgically difficult using the conventional lateral approach. Therefore, we have developed a new approach to the stenotic aorta through a median sternotomy, involving division of the superior vena cava and left caudal displacemen...

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Published inThe Annals of thoracic surgery Vol. 76; no. 5; pp. 1728 - 1730
Main Authors Shinkawa, Takeshi, Yamagishi, Masaaki, Shuntoh, Keisuke, Matsushita, Tsutomu, Fujiwara, Katsuji, Kitamura, Nobuo
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.2003
Elsevier Science
Subjects
Adolescent
Anastomosis, Surgical
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aorta, Thoracic - surgery
Aortic Coarctation - diagnostic imaging
Aortic Coarctation - surgery
Biological and medical sciences
Blood and lymphatic vessels
Cardiac Surgical Procedures - methods
Cardiology. Vascular system
Diseases of the aorta
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Follow-Up Studies
Humans
Magnetic Resonance Angiography
Male
Medical sciences
Pneumology
Radiography
Recurrence
Reoperation - methods
Risk Assessment
Treatment Outcome
Vascular Surgical Procedures - methods
20
Postoperative
Aortic coarctation
Right
Cardiovascular disease
Congenital disease
Arterial disease
Vascular disease
Malformation
Anesthesia
Surgical approach
Circulatory system
Technique
Cardiology
Aortic disease
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Summary:Anatomic repair of postoperative recurrent coarctation of the aorta is surgically difficult using the conventional lateral approach. Therefore, we have developed a new approach to the stenotic aorta through a median sternotomy, involving division of the superior vena cava and left caudal displacement of the heart. This approach facilitates extensive dissection and mobilization of the descending aorta in the posterior mediastinum behind the heart and also facilitates direct anastomosis of the aortic arch and the descending aorta after resection of the stenosis. This approach is useful for anatomic repair of postoperative recurrent coarctation of the aorta and other posterior mediastinal procedures.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(03)00690-8