Document Detail

Repair of coarctation-related aortic arch aneurysm and ventricular septal defect in an adolescent.
MedLine Citation:
PMID:  19156244     Owner:  NLM     Status:  MEDLINE    
A saccular aortic arch aneurysm that is secondary to aortic arch coarctation and that is accompanied by a ventricular septal defect is a rare combination in the adolescent patient. Total simultaneous repair of all of these conditions is desirable, because of the higher morbidity and mortality rates of staged procedures-particularly when resection of the saccular aneurysm is delayed. Herein, we discuss the case of a 16-year-old boy who underwent simultaneous surgical correction of these malformations. With the aid of cardiopulmonary bypass on the beating heart, the coarctation and the aneurysmal segment were resected, and a tubular Dacron graft was interposed. The ascending aorta and femoral artery were both then cannulated to ensure whole-body perfusion during cardiopulmonary bypass. The ventricular septal defect was closed with the patient under cardioplegic arrest. After 10 days, he was discharged from the hospital without sequelae. We conclude that single-staged repair of cardiac abnormalities and of an aortic arch aneurysm that is secondary to coarctation of the aortic arch can be performed safely and effectively in adolescent and adult patients by use of our technique.
Cuneyt Narin; Erdal Ege; Atilla Orhan; Mehmet Yeniterzi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  35     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2008  
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-08-19     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  466-9     Citation Subset:  IM    
Department of Cardiovascular Surgery, Meram Medical School, Selcuk University, 42080 Konya, Turkey.
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MeSH Terms
Aorta / pathology,  surgery*
Aortic Aneurysm, Thoracic / etiology,  pathology,  surgery*
Aortic Coarctation / complications*,  pathology,  surgery
Cardiopulmonary Bypass
Femoral Artery
Heart Septal Defects, Ventricular / complications,  pathology,  surgery*
Magnetic Resonance Angiography
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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