Off pump repair of aortic arch anomalies with concomitant intracardiac defects via anterior approach


Ozkara A., Cetin G., Tireli E., Akcevin A., Koner O., Soyler I., ...Daha Fazla

JOURNAL OF CARDIAC SURGERY, cilt.21, sa.6, ss.550-552, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 6
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1111/j.1540-8191.2006.00294.x
  • Dergi Adı: JOURNAL OF CARDIAC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.550-552
  • İstanbul Üniversitesi Adresli: Evet

Özet

Background: The authors evaluated the surgical treatment of aortic arch anomalies associated with intracardiac pathologies, through median sternotomy on beating heart without using cardiopulmonary bypass (CPB). Methods: A consecutive series of 10 patients with aortic coarctation were operated upon. Median age at repair was 3.5 months (range, 5 days to 72 months), median weight was 4 kg (range, 2.2 to 30 kg). All aortic obstruction repairs were done via midsternotomy without using CPB and it is used only for repair of intracardiac defects. The aortic reconstruction included resection and end-to-side anastomosis in six patients and pulmonary autograft patch aortoplasty in four patients. Results: There was no operative mortality. Mean follow-up value was 17.6 +/- 8.07 months. There was no restenosis. Conclusion: Most of the aortic coarctation and interrupted aorta type A can be well-treated surgically through median sternotomy without using CPB. Thus, the need for profound hypothermia and circulatory arrest and its potential neurological and other side effects are removed and CPB is reserved only for associated intracardiac defects, if present.