One-Stage Correction of Complex Aortic Arch and Descending Aorta Dysplasia Combined Intracardiac Anomalies with a Median Incision

Mingwen Li, Yingbin Xia and Lin Chen

Department of Cardiovascular Surgery, Xinqiao Hospital, China

^*Correspondance to: Lin Chen 

 PDF  Full Text DOI: 10.25107/2474-1647.2173

Abstract

Objectives: A congenital aortic arch and descending aorta dysplasia with intracardiac anomalies are rare cardiovascular malformations, and there is some controversy regarding the ideal surgical response. Our objective is to report our experiences regarding the one-stage correction for these complex cardiovascular anomalies in adolescent and adults.Methods: The clinical data were analyzed retrospectively from 49 patients who underwent surgery for these complex anomalies. Surgical treatments for aortic malformations include widening of the aortic arch and descending aorta in 31 patients (Widening group) and ascending aorta-Gore Tex graft-descending aorta bypass in 18 patients (Bypass group).Results: There was one early death each in the Bypass group and the Widening group. There were 2 patients with early hoarseness and 2 patients with chylothorax in the Widening group. The change in the systolic pressure gradients between the upper and lower limbs was less than 10 mmHg in all patients within one year of follow-up.Conclusions Median sternotomy and concomitant surgical treatment for aortic arch and descending aorta dysplasia associated with intracardiac anomalies are safe and feasible. Gore-Tex vascular graft bypass was a good choice for patients with interrupted aortic arch, distal aortic arch dysplasia, or obvious vascular calcification in adolescents and adults.

Keywords

Aortic arch; Descending aorta dysplasia; Intracardiac abnormalities; Surgical treatments

Cite the article

Li M, Xia Y, Chen L. One-Stage Correction of Complex Aortic Arch and Descending Aorta Dysplasia Combined Intracardiac Anomalies with a Median Incision. Clin Surg. 2018; 3: 2173.