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


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
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):
Matthias Roth
Erwin P. Bauer
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 Roth, M.
Right arrow Articles by Bauer, E. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Roth, M.
Right arrow Articles by Bauer, E. P.
Related Collections
Right arrow Great vessels

Ann Thorac Surg 2002;74:2047-2050
© 2002 The Society of Thoracic Surgeons

Original article: cardiovascular

Aneurysm formation after patch aortoplasty repair (vossschulte): reoperation in adults with and without hypothermic circulatory arrest

Matthias Roth, MDa*, Peter Lemke, MDa, Markus Schönburg, MDa, Wolf-Peter Klövekorn, MDa, Erwin P. Bauer, MDa

a Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic Foundation, Bad Nauheim, Germany

Accepted for publication June 26, 2002.

* Address reprint requests to Dr Roth, Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic Foundation, Benekestrasse 2-8, D-61231 Bad Nauheim, Germany.
e-mail: matthias.roth{at}kerckhoffmed.uni-giessen.de

BACKGROUND: Aortic aneurysm formation is common after patch aortoplasty repair of coarctation of the aorta. Its incidence varies between 5% and 38%. The majority of patients show progressive aneurysmal dilation within 6 to 18 years and reoperation is necessary to avoid rupture of the aneurysm.

METHODS: Ten patients were reoperated on for patch aneurysm formation. Femorofemoral cardiopulmonary bypass (CPB) with a heparinized system was used in all patients. Decision to initiate hypothermic circulatory arrest (HCA) was made intraoperatively. All patients received a Dacron graft replacement of the aneurysmatic thoracic aorta.

RESULTS: HCA was initiated in 5 patients owing to extreme adhesions in vicinity to the aneurysm. There was no significant intergroup difference regarding time interval after first operation, age, operation time, and postoperative blood loss. Only minor neurologic events were present in 2 patients with cross-clamping the aorta.

CONCLUSIONS: Patch aneurysms after Vossschulte aortoplasty can safely be operated on with femorofemoral CPB. Initiation of HCA is recommended to prevent rupture of the aneurysm during preparation and injury of adjacent nerves and vessels.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Hayashi, A. D. Cochrane, S. Menahem, and J. A. Smith
Neoaortic root dilatation with saccular aneurysm formation after the arterial switch operation for Taussig-Bing anomaly
J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 569 - 572.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Inoue, T. Ueda, S. Taguchi, I. Kashima, K. Koizumi, and T. Kimura
Nonaneurysmal rupture 30 years after patch aortoplasty for coarctation
J. Thorac. Cardiovasc. Surg., December 1, 2006; 132(6): 1480 - 1481.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. Carr, J. J. Amato, and R. S.D. Higgins
Long-Term Results of Surgical Coarctectomy in the Adolescent and Young Adult With 18-Year Follow-Up
Ann. Thorac. Surg., June 1, 2005; 79(6): 1950 - 1956.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Dumont, M. Carrier, R. Cartier, M. Pellerin, N. Poirier, D. Bouchard, and L. P. Perrault
Repair of aortic false aneurysm using deep hypothermia and circulatory arrest
Ann. Thorac. Surg., July 1, 2004; 78(1): 117 - 120.
[Abstract] [Full Text] [PDF]


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 © 2002 by The Society of Thoracic Surgeons.