Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation
Background. Balloon aortoplasty with or without stenting is a less invasive alternative to open surgery for the management of recurrent isthmic coarctation. However, in patients with previous small size tube graft, an open surgical correction is mandatory and, in most cases, an anatomical aortic rec...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/320132 |
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| author | Alban Malaj Ombretta Martinelli Francesco Giosue' Irace Jihad Jabbour Bruno Gossetti Giuseppe Mazzesi |
| author_facet | Alban Malaj Ombretta Martinelli Francesco Giosue' Irace Jihad Jabbour Bruno Gossetti Giuseppe Mazzesi |
| author_sort | Alban Malaj |
| collection | DOAJ |
| description | Background. Balloon aortoplasty with or without stenting is a less invasive alternative to open surgery for the management of recurrent isthmic coarctation. However, in patients with previous small size tube graft, an open surgical correction is mandatory and, in most cases, an anatomical aortic reconstruction is carried out. Methods. We present the case of a 48-year-old woman with recurrent aortic coarctation and systemic hypertension with systolic value around 190–200 mmHg and preoperative systolic pressure gradient 70 mmHg, submitted to an extra-anatomical bypass. Through a median sternotomy, an extra-anatomical bypass from ascending to descending aorta was performed. Results. No intra- or postoperative complications were observed. The postoperative pressure gradient was 10 mmHg and the systolic pressure ranged from 130 to 140 mmHg. Conclusion. The extra-anatomical bypass can be considered an effective and safe alternative to the anatomical aortic reconstruction in the cases with recurrent aortic coarctation unfit for endovascular treatment. |
| format | Article |
| id | doaj-art-d048fe28da004e4d825faffd9d386f2f |
| institution | OA Journals |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-d048fe28da004e4d825faffd9d386f2f2025-08-20T02:20:03ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/320132320132Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic CoarctationAlban Malaj0Ombretta Martinelli1Francesco Giosue' Irace2Jihad Jabbour3Bruno Gossetti4Giuseppe Mazzesi5Division of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDivision of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDivision of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDivision of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDivision of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDivision of Cardiac Surgery, Paride Stefanini Department, Policlinico Umberto I Hospital Sapienza, University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyBackground. Balloon aortoplasty with or without stenting is a less invasive alternative to open surgery for the management of recurrent isthmic coarctation. However, in patients with previous small size tube graft, an open surgical correction is mandatory and, in most cases, an anatomical aortic reconstruction is carried out. Methods. We present the case of a 48-year-old woman with recurrent aortic coarctation and systemic hypertension with systolic value around 190–200 mmHg and preoperative systolic pressure gradient 70 mmHg, submitted to an extra-anatomical bypass. Through a median sternotomy, an extra-anatomical bypass from ascending to descending aorta was performed. Results. No intra- or postoperative complications were observed. The postoperative pressure gradient was 10 mmHg and the systolic pressure ranged from 130 to 140 mmHg. Conclusion. The extra-anatomical bypass can be considered an effective and safe alternative to the anatomical aortic reconstruction in the cases with recurrent aortic coarctation unfit for endovascular treatment.http://dx.doi.org/10.1155/2013/320132 |
| spellingShingle | Alban Malaj Ombretta Martinelli Francesco Giosue' Irace Jihad Jabbour Bruno Gossetti Giuseppe Mazzesi Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation Case Reports in Vascular Medicine |
| title | Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation |
| title_full | Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation |
| title_fullStr | Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation |
| title_full_unstemmed | Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation |
| title_short | Extra-Anatomical Bypass: A Surgical Option for Recurrent Aortic Coarctation |
| title_sort | extra anatomical bypass a surgical option for recurrent aortic coarctation |
| url | http://dx.doi.org/10.1155/2013/320132 |
| work_keys_str_mv | AT albanmalaj extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation AT ombrettamartinelli extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation AT francescogiosueirace extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation AT jihadjabbour extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation AT brunogossetti extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation AT giuseppemazzesi extraanatomicalbypassasurgicaloptionforrecurrentaorticcoarctation |