Aortic coarctation in adults is sometimes associated with a fragile aortic wall and may be complicated by coronary artery disease and ascending aortic dilation. Successful management of aortic coarctation in a 45-year-old man with coronary artery disease is described. Tube graft replacement was carried out without cross clamping, under circulatory arrest with axillary artery and graft inflow.
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References
1.
LawrieGMDeBakeyMEMorrisGCJrCrawfordESWagnerWFGlaeserDH. Late repair of coarctation of the descending thoracic aorta in 190 patients. Results up to 30 years after operation. Arch Surg1981; 116: 1557–60.
2.
KangNClarkeAJNicholsonIAChardRB. Circulatory arrest for repair of postcoarctation site aneurysm. Ann Thorac Surg2004; 77: 2029–33.
3.
YamadaAMorishitaKKawaharadaNFukadaJSatsuTAbeT. A safe strategy for surgical repair of coarctation of the aorta in an adult. J Thorac Cardiovasc Surg2003; 126: 597–8.
4.
WestabySKatsumataTVaccariG. Arch and descending aortic aneurysms: influence of perfusion technique on neurological outcome. Eur J Cardiothorac Surg1999; 15: 180–5.
5.
CokkinosDVLeachmanRDCooleyDA. Increased mortality rate from coronary artery disease following operation for coarctation of the aorta at a late age. J Thorac Cardiovasc Surg1979; 77: 315–8.
6.
MoraesFLampreaDWanderleyJMoraesCR. Correction of coarctation of the aorta with simultaneous off-pump myocardial revascularization. Tex Heart Inst J2003; 30: 332–4.
7.
OliverJMGallegoPGonzalezAArocaABretMMesaJM. Risk factors for aortic complications in adults with coarctation of the aorta. J Am Coll Cardiol2004; 44: 1641–7.
8.
SvenssonLGBlackstoneEHRajeswaranJSabikJF3rdLytleBWGonzalez-StawinskiG. Does the arterial cannulation site for circulatory arrest influence stroke risk?Ann Thorac Surg2004; 78: 1274–84.
