We present two cases successfully operated on at our institution using the technique of ascending aorta-abdominal aorta bypass. The first patient was a 60-year-old female with a large partially thrombosed aortic aneurysm between the origin of the left subclavian artery and the celiac axis. The second was a 55-year-old female who had coarctation of the aorta, aortic valve stenosis, and three-vessel coronary artery disease. A one-stage operation was performed to correct all three pathologies. Extra-anatomical aortic bypass was found to be the most suitable surgical technique in both patients although for different reasons.
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References
1.
ShumackerHBJrKingHNahrwoldDLCoarctation of the aorta. Curr Probl Surg1968;2:1–64.
2.
RobinsonGSiegelmanSAltaiL. Recurrent dissecting aneurysm of aorta. NY State J Med1972;72:2328.
3.
SiderysHGraffsRHallbrookHA technique for management of inaccessible coarctation of the aorta. J Thorac Cardiovasc Surg1974;15:510.
4.
FrantzSLKaplittMJBeilARAscending aortabilateral femoral artery bypass for the totally occluded infrarenal abdominal aorta. Surgery1974;75:471.
5.
WukaschDCCooleyDASandifordFMAscending aorta-abdominal aorta bypass: indications, technique, and report of 12 patients. Ann Thorac Surg1977;23:442–8.
6.
PelissierFTVilliardJNicolaiYVialP. Pontage de l'aorta ascendante à l'aorte abdominale ou à ses branches destinées aux membres infériors. A propos de 14 cas. Lyon Chir1989;85:314–8.
7.
CarpentierA. A new approach to the treatment of aortic dissections. Lancet1979;2:1291.
