One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta.

We treated a 7-day-old neonate with aortic coarctation, left aortic arch, right-side descending aorta, aberrant right subclavian artery, and outlet ventricular septal defect. Surgical one-stage repair consisting of coarctation repair by extended direct anastomosis, patch closure of the ventricular septal defect, and translocation of the right subclavian artery was performed under a separated (upper and lower body) perfusion with ascending and thoracic descending aortic cannulation. The postoperative course was complicated with massive chylous effusion, which was successfully treated by thoracic duct ligation.

Citation

Masatoshi Shimada, Takaya Hoashi, Koji Kagisaki, Tatsuya Oda, Isao Shiraishi, Kenichi Kurosaki, Masataka Kitano, Hajime Ichikawa. One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta. General thoracic and cardiovascular surgery. 2012 Sep;60(9):575-7

Mesh Tags

PMID: 22614526

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