On-Pump Beating Heart Extraanatomical Ascending-Descending Aortic Bypass Using a Beating Heart Positioner in an Adult with Aortic Coarctation

Toshio Doi; Takayuki Gyoten; Saori Nagura; Akio Yamashita; Kazuaki Fukahara; Keiju Kotoh; Naoki Yoshimura

doi:10.3400/avd.cr.15-00104

Case Reports

On-Pump Beating Heart Extraanatomical Ascending-Descending Aortic Bypass Using a Beating Heart Positioner in an Adult with Aortic Coarctation

Toshio Doi, Takayuki Gyoten, Saori Nagura, Akio Yamashita, Kazuaki Fukahara, Keiju Kotoh, Naoki Yoshimura

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Keywords: aortic coarctation, extraanatomical ascending-descending aortic bypass, on-pump beating heart surgery

JOURNAL FREE ACCESS

2016 Volume 9 Issue 1 Pages 51-54

DOI https://doi.org/10.3400/avd.cr.15-00104

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Abstract

The prognosis of uncorrected aortic coarctation is poor due to development of heart failure. We performed an on-pump beating heart extraanatomical ascending-descending aortic bypass using a beating heart positioner in an adult with coarctation complicated by severe left ventricular hypertrophy. A 51-year-old woman was referred with severe hypertension. Computed tomography demonstrated severe distal aortic arch narrowing. Coarctation of the aorta was diagnosed. A posterior pericardial beating heart extraanatomical bypass via median sternotomy was performed from the ascending to descending aorta using a heart positioner. Her postoperative course was uneventful and blood pressure was normal on a low-dose beta-blocker.

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