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Coarctation of the Aorta

  • Viktor Hraška
  • Peter Murín

Abstract

Coarcation of the aorta is defined as a hemodynamically significant narrowing of the descending thoracic aorta, usually just distal to the left subclavian artery, where the ligamentum arteriosum originates. This chapter elaborates:

1. Anatomy

2. Indication for surgery

3. Approach and cardiopulmonary bypass strategy

4. Resection of aortic coarctation and extended end-to-end anastomosis (video)

5. Resection of aortic coarctation and end-to-side anastomosis through a median sternotomy (video)

6. Resection of the stented isthmus of the aorta and reconstruction of the aortic arch by partial end-to-end anastomosis and pericardial patch plasty (video)

7. Resection of a stented isthmus of the aorta and reconstruction of the aortic arch by pericardial patch plasty (video)

8. Reimplantation of the right aberrant subclavian artery into the right carotid artery; resection of the stented coarctation and end-to-end anastomosis; patch closure of the ventricular septal defect (video)

9. Extra-anatomical jump graft between the ascending and descending aorta using a 18 mm in Ø prosthesis (video)

Keywords

Aortic Arch Subclavian Artery Patent Ductus Arteriosus Ventricular Septal Defect Aortic Coarctation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Supplementary material

Clip 1: Preoperative findings

Clip 2: The postero-lateral thoracotomy approach.

Clip 3: Dissection of the aorta.

Clip 4: Ligation of the patent ductus arteriosus.

Clip 5: Resection of the coarctation.

Clip 6: Extended end-to-end anastomosis.

Clip 7: Final result.

Clip 8: Postoperative findings.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Orientation and anatomy.

Clip 3: Resection of the aortic coarctation.

Clip 4: Closure of the distal aortic arch.

Clip 5: End-to-side anastomosis between the descending and ascending aorta.

Clip 6: Final result.

Clip 7: Postoperative findings.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Cardiopulmonary bypass strategy.

Clip 3: Resection of the stented descending aorta.

Clip 4: Reconstruction of the aortic arch.

Clip 5: Final result.

Clip 6: Postoperative finding.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Resection of the coarctation, removal of the stent and reconstruction of the aortic arch.

Clip 3: Postoperative finding.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Dissection of the aberrant right subclavian artery.

Clip 3: Reimplantation of the aberrant subclavian artery.

Clip 4: Final result.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Dissection of the descending aorta.

Clip 3: Distal anastomosis.

Clip 4: Proximal anastomosis.

Clip 5: Final result.

Clip 6: Postoperative finding.

Fullversion

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Viktor Hraška
    • 1
  • Peter Murín
    • 1
  1. 1.Department of Cardiac SurgeryGerman Pediatric Heart Center, Sankt AugustinSankt AugustinGermany

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