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Ann Thorac Surg 2001;72:294-295
© 2001 The Society of Thoracic Surgeons

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Aortopexy reduces anastomosis stress after repair of coarctation

Jaime F. Vazquez-Jimenez, MDa, Jörg S. Sachweh, MDa, Ralf Seipelt, MDa, Marie-Christine Seghaye, MDb, Bruno J. Messmer, MDa a Department of Thoracic and Cardiovascular Surgery, University Hospital RWTH, Aachen, Germany
b Department of Pediatric Cardiology, University Hospital RWTH, Aachen, Germany

Accepted for publication January 13, 2001.

Address reprint requests to Dr Vazquez-Jimenez, Department of Thoracic and Cardiovascular Surgery, University Hospital, Pauwelsstrasse 30, D-52057 Aachen, Germany
e-mail: jvazquez-jimenez{at}post.klinikum.rwth-aachen.de

Restenosis after repair of coarctation with hypoplastic distal aortic arch is an important complication. Complete removal of ductal tissue, resection of isthmus area, and side-to-side arterioplasty of the distal aortic arch leads to a wide distance between the aortic arch and descending aorta; therefore, the anastomosis may remain under tension, increasing risk of restenosis. To reduce the tension, aortopexy of the descending aorta was used. The operative technique and the results in 16 neonates and infants are presented.




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