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Ann Thorac Surg 2011;92:1110-1113. doi:10.1016/j.athoracsur.2011.03.043
© 2011 The Society of Thoracic Surgeons
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Enyi Shi
Tianxiang Gu
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Case Reports

Single-Stage Repair of Interrupted Aortic Arch With Simultaneous Coronary Artery Bypass Grafting Without Cardiopulmonary Bypass in an Adult

Lei Yu, MD, Enyi Shi, MD, PhD, Tianxiang Gu, MD, PhD*

Department of Cardiac Surgery, The First Affiliated Hospital of China Medical University, Shenyang, P.R. China

Accepted for publication March 7, 2011.

* Address correspondence to Dr Gu, Department of Cardiac Surgery, The First Affiliated Hospital, China Medical University, Nanjingbei St, #155, Shenyang, P.R., 110001 China (Email: cmugtx{at}sina.com).

Interrupted aortic arch is a rare congenital cardiac defect. There are extremely few cases in adults that are reported in the pertinent medical literature. However, single-stage repair of interrupted aortic arch combined with coronary artery disease has been rarely reported. We describe the management of interrupted aortic arch associated with coronary artery disease through single-stage surgical procedure without cardiopulmonary bypass in a 56-year-old woman. The vascular prosthesis was anastomosed between the aortic arch just distal to the origin of the left subclavian artery and the descending thoracic aorta. Then a venous bypass was subsequently formed between the left anterior descending coronary artery, the circumflex artery, and the descending aorta.




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