ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Leo Heikkinen
Jarmo Salo
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heikkinen, L.
Right arrow Articles by Ala-Kulju, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Heikkinen, L.
Right arrow Articles by Ala-Kulju, K.

Ann Thorac Surg 1990;50:946-948
© 1990 The Society of Thoracic Surgeons

Articles

Morphological and histopathological aspects of aneurysms after patch aortoplasty for coarctation

Leo Heikkinen, MD*,a,b, Hannu Sariola, MDa,b, Jarmo Salo, MDa,b, Kari Ala-Kulju, MDa,b

a Department of Thoracic and Cardiovascular Surgery Helsinki University Central Hospital, Helsinki, Finland
b Department of Pediatric Pathology, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication August 13, 1990.

* Address reprint requests to Dr Heikkinen, Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, SF-00290 Helsinki, Finland.

Repair of coarctation of the aorta by synthetic patch grafting has been complicated by late aneurysm formation. These aneurysms differ macroscopically from atherosclerotic thoracic aortic dilatations. Specimens for microscopic examination were taken from 14 of 20 patients undergoing aneurysm resection. Histological analysis of the specimens showed medionecrosis in 13 patients (93%), foreign body reaction in 11 patients (78%), and intimal thickening in 3 patients (21%). The three layers of the aortic wall could be identified in the aneurysms. On the basis of these results, we discuss the etiologic factors and pathogenetic mechanisms involved in the development of these aneurysms.




This article has been cited by other articles:


Home page
 Eur Heart JHome page
E. Troost, M. Gewillig, W. Daenen, B. Meyns, J. Bogaert, K. Van Deyk, and W. Budts
Behaviour of polyester grafts in adult patients with repaired coarctation of the aorta
Eur. Heart J., May 1, 2009; 30(9): 1136 - 1141.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
J. S. Coselli and S. A. LeMaire
Descending and Thoracoabdominal Aortic Aneurysms
Card. Surg. Adult, January 1, 2008; 3(2008): 1277 - 1298.
[Full Text]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
Y.-Q. Lai, Q.-W. Zhou, H. Wei, C. Zhang, and Z.-G. Zhang
Intrapulmonary Channel for One-Stage Correction of Aortic Arch Obstruction
Asian Cardiovasc Thorac Ann, October 1, 2006; 14(5): 402 - 406.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Kang, A. J. B. Clarke, I. A. Nicholson, and R. B. Chard
Circulatory arrest for repair of postcoarctation site aneurysm
Ann. Thorac. Surg., June 1, 2004; 77(6): 2029 - 2033.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. S. Maxey, S. J. Serfontein, T. B. Reece, K. S. Rheuban, and I. L. Kron
Transverse arch hypoplasia may predispose patients to aneurysm formation after patch repair of aortic coarctation
Ann. Thorac. Surg., October 1, 2003; 76(4): 1090 - 1093.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. J. Walhout, J. C. Lekkerkerker, G. H. Oron, F. J. Hitchcock, E. J. Meijboom, and G. B.W.E. Bennink
Comparison of polytetrafluoroethylene patch aortoplasty and end-to-end anastomosis for coarctation of the aorta
J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 521 - 528.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Mekkaoui, P. H. Rolland, A. Friggi, M. Rasigni, and T. G. Mesana
Pressure-flow loops and instantaneous input impedance in the thoracic aorta: Another way to assess the effect of aortic bypass graft implantation on myocardial, brain, and subdiaphragmatic perfusion
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 699 - 710.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. O. Heikkinen and A. A. Jarvinen
Aortopulmonary fistula after coarctation repair with dacron patch aortoplasty
Ann. Thorac. Surg., May 1, 2002; 73(5): 1634 - 1636.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
J. Bogaert, S. Dymarkowski, W. Budts, M. Gewillig, and W. Daenen
Graft dilation after redo surgery for aneurysm formation following patch angioplasty for aortic coarctation
Eur J Cardiothorac Surg, March 1, 2001; 19(3): 274 - 278.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
C. L. Backer, K. Paape, V. R. Zales, T. J. Weigel, and C. Mavroudis
Coarctation of the Aorta : Repair With Polytetrafluoroethylene Patch Aortoplasty
Circulation, November 1, 1995; 92(9): 132 - 136.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1990 by The Society of Thoracic Surgeons.