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Ann Thorac Surg 1981;32:304-306
© 1981 The Society of Thoracic Surgeons


Articles

Maintenance of Distal Aortic Perfusion by a Heparin-bonded Shunt during Repair of Coarctation of the Aorta with Minimal Collateral Circulation

John C. Alexander, Jr., M.D.*

Department of Surgery, Duke University Medical Center, Durham, NC

Accepted for publication August 20, 1980.

* Address reprint requests to Dr. Alexander, Memorial Hospital, 1275 York Ave, New York, NY 10021


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A heparin-bonded shunt was used to maintain distal aortic perfusion during repair of a coarctation of the aorta in a child who showed evidence of minimal collateral circulation preoperatively. This method is quite simple and obviates the technical difficulties inherent in previously described methods designed to maintain distal perfusion while the proximal thoracic aorta is occluded. The technique proved quite effective, and the patient had an uncomplicated postoperative course.


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  1. Abbott ME. Coarctation of the aorta of the adult type Am Heart J 1928;3:574.
  2. Gross RE, Hufnagel CA. Coarctation of the aorta: experimental studies regarding its surgical correction N Engl J Med 1945;233:287.
  3. Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment J Thorac Cardiovasc Surg 1945;14:347.
  4. Brewer III LA, Fosburg RG, Mulder GA, Verska JJ. Spinal cord complications following surgery for coarctation of the aorta: a study of 66 cases J Thorac Cardiovasc Surg 1972;64:368.[Medline]
  5. Clatworthy HW, Varco RL. A small bore polyethylene shunt to prevent mechanical shock after prolonged cross-clamping of the thoracic aorta Proc Soc Exp Biol Med 1950;74:434.[Abstract/Free Full Text]
  6. Sellors TH. Coarctation of the aorta associated with aneurysm Br J Surg 1956;43:365.[Medline]
  7. Lam CR, Arciniegas E. Surgical management of coarctation of the aorta with minimal collateral circulation Ann Surg 1973;178:693.[Medline]
  8. Valiathan MS, Weldon CS, Bender HW, et al. Resection of aneurysms of the descending thoracic aorta using a GBH-coated shunt bypass J Surg Res 1968;8:197.[Medline]
  9. Hughes RK, Reemtsma K. Correction of coarctation of the aorta: manometric determination of safety during test occlusion J Thorac Cardiovasc Surg 1971;62:31.[Medline]
  10. Piepgras DG, Sundt TM. Clinical and laboratory experience with heparin-impregnated silicone shunts for carotid endarterectomy Ann Surg 1976;184:637.[Medline]



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This Article
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