Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Extraanatomic Ascending-to-Descending Aorta Bypass Graft for Atypical Coarctation -A case report-

비전형적인 대동맥궁 축착 환자에시 상행 대동맥과 하행 대동맥간 우회로 조성술 -1예 보고-

  • Kim Kwan-Chang (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim Chang-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Choi Se-Hoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Son Kuk-Hui (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Cho Kwang-Ree (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim Kyung-Hwan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn Hyuk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김관창 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 김창영 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 최세훈 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 손국희 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 조광리 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 김경환 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 안혁 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Published : 2006.04.01
Download PDF
⟨ Previous Next ⟩

Abstract

Under median sternotomy and left thoracotomy, extra-anatomic aorta bypass between ascending aorta and descending thoracic aorta without cardiopulmonary bypass support has been done effectively and easily without complications for a selected case of atypical coarctation associated with hypoplasia of aortic arch. It should be considered as an alternative operative technique for complex aortic arch reconstruction.

대동맥궁의 형성 저하증과 비정형 대동맥궁 축착을 가진 한자에서 정중 흉골 절개술과 좌측 개흉술하에서 인공 심폐 바이패스 없이 상행 대동맥-하행 대동맥간 우회로 조성술을 시행하여 좋은 결과를 얻었기에 보고하는 바이다. 상행 대동맥하행 대동맥간 우회로 조성술은 복잡한 대동맥궁 재건술이 필요한 경우에 다른 술식으로서 고려될 수 있을 것이다.

Keywords

References

  1. Izhar U, Schaff HV, Mullany CJ, Daly RC, Orszulak TA. Posterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy. Ann Thorac Surg 2000;70:31-7 https://doi.org/10.1016/S0003-4975(00)01481-8
  2. Heinemann MK, Ziemer G, Wahlers T, Kohler A, Borst HG. Extraanatomic thoracic arotic bypass grafts: indications, techniques, and results. Eur J Cardiothorac Surg 1997;11: 169-75 https://doi.org/10.1016/S1010-7940(96)01018-4
  3. Beekman RH, Rocchini AP, Behrendt DM, Rosenthal A. Reoperation for coarctation of the aorta. Am J Cardiol 1981; 48:1108-14 https://doi.org/10.1016/0002-9149(81)90328-3
  4. Chang YH, Lee JY, Kim YM, et al. Extraanatomic ascending aorta-to-descending aortic bypass graft for recurrent, diffuse, aortic coarctation. Ann Vasc Surg 2004;18:601-3 https://doi.org/10.1007/s10016-004-0090-x
  5. Grinda JM, Mace L, Dervanian P, Folliguet TA, Neveux JY. Bypass graft for complex forms of isthmic aortic coarctation in adults. Ann Thorac Surg 1995;60:1299-302 https://doi.org/10.1016/0003-4975(95)00557-2
  6. Ahn H, Hwang HY. Ascending arota-abdominal aorta bypass for Takayasu's arteritis. Asian Cardiovasc Thorac Ann 2003;11:2-3
  7. Zeira M, Zohar S. Pregnancy and delivery in women with coarctation of the aorta. Harefauh 1993;124:756-8