Title: Extra Anatomical Bypass for Calcified Coarctation of Aorta in 58 Year old Individual - A Case Report
Authors: Vivek Rawat, Murtaza A. Chishti, Premraj Nagarwal, Gaurav Goyal
DOI: https://dx.doi.org/10.18535/jmscr/v6i2.149
Abstract
The surgical management of adult coarctation of aorta is quite challenging. Endovascular intervention has limited role in adult calcified coarctation of aorta. Various surgical options are available for management. We are reporting a 58 year old intractable hypertensive male with calcified coarctation of aorta who underwent an Extra Anatomical Bypass using 20mm Integard Woven Dacron graft from left subclavian artery to descending thoracic aorta. He had an uneventful postoperative period with a small gradient across the conduit.
Keywords: Adult coarctation of aorta, Extra Anatomical bypass.
References
- Campbell, M.Natural history of coarctation of the aorta. Br Heart J. 1970; 32: 633–682.
- 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.
- Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE. Task Force on the Management of Grown-up Congenital Heart Disease of the European Society of Cardiology (ESC). Guidelines for the management of grown-up congenital heart disease. The Task Force on the Management of Grown–up Congenital Heart Disease of the European Society of Cardiology (ESC) endorsed by the European Pediatric Cardiology (AEPC). Eur Heart J.2010;31(23):2915–2957.
- Gatzoulis MA, Swan L, Therriern J. Adult congenital heart disease: A practical guide. Blackwell Publishing; 2006.
- Manganas C, Iliopoulos J, Chard RB, Nunn GR. Reoperation and coarctation of the aorta: the need for lifelong surveillance. Ann Thorac Surg. 2001;72: 1222–1224.
- Anagnaostopoulos–Tzifa A. Management of Aortic Coarctation in Adults: Endovascular Versus Surgical Therapy. Hellenic J Cardiol . 2007;48:290–295.