HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Rohinton J. Morris Louis E. Samuels Stanley K. Brockman Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Morris, R. J. Articles by Brockman, S. K. Search for Related Content PubMed PubMed Citation Articles by Morris, R. J. Articles by Brockman, S. K.

Ann Thorac Surg 1998;65:1698-1702
© 1998 The Society of Thoracic Surgeons

---

Original articles: cardiovascular

Total Simultaneous Repair of Coarctation and Intracardiac Pathology in Adult Patients

^a Department of Cardiothoracic Surgery, Allegheny University of the Health Sciences-Hahnemann, Philadelphia, Pennsylvania, USA

Accepted for publication February 4, 1998.

Address reprint requests to Dr Morris, Department of Cardiothoracic Surgery, Allegheny University of the Health Sciences-Hahnemann, Broad & Vine Sts, Mail Stop 111, Philadelphia, PA 19102-1192

Background. Thoracic aortic coarctation accompanied by a second surgically reparable lesion is a rare combination in the adult patient. The simultaneous operative management of both lesions is desirable because of the higher morbidity and mortality that would occur with staged procedures.

Methods. We describe the simultaneous operative management in three adult patients with coarctation and a second cardiac lesion. All 3 patients had intrapericardial ascending aorta–descending aorta bypass and concomitant repair of a cardiac lesion. The attendant repairs in the 3 patients, respectively, were aortic valve replacement, orthotopic heart transplantation, and coronary artery bypass grafting.

Results. Double arterial cannulation, retrograde cardioplegia, large-bore aorto–aortic bypass grafts, and early use of -agonists to stabilize systemic pressure were all key to ensuring safe conduct of the operation. Each patient had an essentially uneventful postoperative course.

Conclusions. Thoracic coarctation and concomitant cardiac pathology can be safely and readily managed with a single-stage approach involving cardiac repair and extraanatomic ascending aorta–descending aorta bypass grafting. A review of the English-language literature of patients managed similarly is included.

This article has been cited by other articles:

				O C. Raffel, A. Abraham, P. N Ruygrok, A K. Finucane, A. D McGeorge, and R. L French Cardiac Transplantation and Aortic Coarctation Repair in Severe Heart Failure Asian Cardiovasc Thorac Ann, December 1, 2006; 14(6): 522 - 524. [Abstract] [Full Text] [PDF]

				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]

				K. Teoh, E. Wilton, S. Brecker, and M. Jahangiri Simultaneous removal of an Amplatzer device from an atrial septal defect and the descending aorta J. Thorac. Cardiovasc. Surg., April 1, 2006; 131(4): 909 - 910. [Full Text] [PDF]

				L. Z. Sun, X. J. Luo, and Y. M. Liu Single-Stage Treatment of Aortic Coarctation and Aortic Valve Disease Asian Cardiovasc Thorac Ann, September 1, 2003; 11(3): 208 - 212. [Abstract] [Full Text]

				C. H. A. Jost, H. V. Schaff, H. M. Connolly, G. K. Danielson, J. A. Dearani, F. J. Puga, and C. A. Warnes Spectrum of Reoperations After Repair of Aortic Coarctation: Importance of an Individualized Approach Because of Coexistent Cardiovascular Disease Mayo Clin. Proc., July 1, 2002; 77(7): 646 - 653. [Abstract] [PDF]

				H. M. Connolly, H. V. Schaff, U. Izhar, J. A. Dearani, C. A. Warnes, and T. A. Orszulak Posterior Pericardial Ascending-to-Descending Aortic Bypass: An Alternative Surgical Approach for Complex Coarctation of the Aorta Circulation, September 18, 2001; 104 (2009): I-133 - I-137. [Abstract] [Full Text] [PDF]

				P. Yiu, U. Sigwart, and J. R. Pepper Hybrid management of coronary artery disease and coarctation of aorta Ann. Thorac. Surg., December 1, 2000; 70(6): 2153 - 2154. [Abstract] [Full Text] [PDF]

				K. R. Kanter, E. Erez, W. H. Williams, and V. K. H. Tam Extra-anatomic aortic bypass via sternotomy for complex aortic arch stenosis in children J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 885 - 890. [Abstract] [Full Text] [PDF]