Two stage hybrid approach for complex aortic coarctation repair

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Two stage hybrid approach for complex aortic coarctation repair

BACKGROUND Management of an adult patient with aortic coarctation and an associated cardiac pathology poses a great surgical challenge since there are no standard guidelines for the therapy of such complex pathology. Debate exists not only on which lesion should be corrected first, but also upon the type and timing of the procedure. Surgery can be one- or two-staged. Both of these strategies ar...

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Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach

BACKGROUND Coarctation of the aorta in the adulthood is sometimes associated with additional cardiovascular pathologies that require intervention. Ideal approach in such patients is uncertain. Anatomic left-sided short aortic bypass from the arcus aorta to descending aorta via median sternotomy allows simultaneous repair of both complex aortic coarctation and concomitant cardiac operation. MA...

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Hybrid repair of thoracoabdominal aneurysm: a two-stage approach.

Despite higher standards of perioperative care and refinements in operative techniques, conventional open repair of thoracoabdominal aneurysms (TAAAs) is still associated with remarkable morbidity and mortality rates. Hybrid procedures as an option to traditional surgical procedures are still debated, especially in elderly patients with severe comorbidities. We report the experience of our inst...

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Single stage repair of a complex pathology: end stage ischaemic cardiomyopathy, ascending aortic aneurysm and thoracic coarctation

The not uncommon combination of ascending aortic pathology with late presenting coarctation is a difficult surgical challenge. The two stage approach is usually adopted. The necessity for cardiac transplantation adds to the complexity: a trans-sternal approach and single stage repair become mandatory.

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Two-stage surgical repair of type II acute aortic dissection and aortic coarctation in a 12-year-old child

Introduction Combination of acute aortic dissection associated with aortic coarctation in pediatric population is extremely rare. We are presenting a 12-year-old patient with these two conditions who was successfully treated with two-stage surgery. Case Outline A boy with no trauma history was admitted for chest pain. The diagnosis of acute aortic dissection associated with aortic coarctation w...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2009

ISSN: 1749-8090

DOI: 10.1186/1749-8090-4-10