Bypass grafts for recurrent or complex coarctations of the aorta

R. N. Edie, J. Janani, L. A. Attai, J. R. Malm, G. Robinson

Research output: Contribution to journalArticle

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Abstract

Twenty three patients aged 5 to 53 years with recurrent or complex coarctations of the aorta were successfully operated upon using bypass grafts. This technique of repair was selected for 5 patients with recurrent coarctation, 11 with long segment coarctation with or without hypoplasia of the transverse aortic arch, and 7 with inadequate collateral circulation. Nineteen patients had bypass grafts from the left subclavian artery to the distal descending thoracic aorta. The other 4 had a combined approach through a left thoracotomy and median sternotomy with grafts between the ascending and descending thoracic aorta. All patients survived the operative procedure. One patient was reexplored for a hemothorax and 5 developed transient postoperative hypertension. There were no instances of abdominal vasculitis or lower extremity paralysis. These patients have been followed from 3 months to 11 years postoperatively, and all but 1 are alive and well. Twenty two are normotensive, and none have the sequelae of hypertensive disease. Gradients up to only 15 mm Hg exist between upper and lower extremity blood pressures. Five patients have undergone postoperative catheterization and aortography, and all have patent grafts. This procedure is a useful adjunct in difficult coarctations of the aorta and can be safely performed with excellent reproducible long term results.

Original languageEnglish (US)
Pages (from-to)558-566
Number of pages9
JournalAnnals of Thoracic Surgery
Volume20
Issue number5
DOIs
StatePublished - 1975
Externally publishedYes

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Aortic Coarctation
Thoracic Aorta
Transplants
Hemothorax
Aortography
Collateral Circulation
Subclavian Artery
Sternotomy
Paraplegia
Operative Surgical Procedures
Thoracotomy
Vasculitis
Catheterization
Lower Extremity
Blood Pressure
Hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Edie, R. N., Janani, J., Attai, L. A., Malm, J. R., & Robinson, G. (1975). Bypass grafts for recurrent or complex coarctations of the aorta. Annals of Thoracic Surgery, 20(5), 558-566. https://doi.org/10.1016/S0003-4975(10)64255-5

Bypass grafts for recurrent or complex coarctations of the aorta. / Edie, R. N.; Janani, J.; Attai, L. A.; Malm, J. R.; Robinson, G.

In: Annals of Thoracic Surgery, Vol. 20, No. 5, 1975, p. 558-566.

Research output: Contribution to journalArticle

Edie, RN, Janani, J, Attai, LA, Malm, JR & Robinson, G 1975, 'Bypass grafts for recurrent or complex coarctations of the aorta', Annals of Thoracic Surgery, vol. 20, no. 5, pp. 558-566. https://doi.org/10.1016/S0003-4975(10)64255-5
Edie, R. N. ; Janani, J. ; Attai, L. A. ; Malm, J. R. ; Robinson, G. / Bypass grafts for recurrent or complex coarctations of the aorta. In: Annals of Thoracic Surgery. 1975 ; Vol. 20, No. 5. pp. 558-566.
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