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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...

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Related Experiment Video

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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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[Extra-anatomic bypass for complex aortic coarctation in adults].

Xu-dong Pan1, Si-hong Zheng, Yi-peng Ge

  • 1Department of Cardiovascular Surgery, Beijing Anzhen Hospital of Capital University of Medical Sciences, Beijing 100029, China.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|April 12, 2012
PubMed
Summary

Extra-anatomic bypass effectively treats complex aortic coarctation in adults, improving blood pressure and hypertension. This surgical option demonstrates safe and patent grafts during follow-up.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Context:

  • Complex aortic coarctation presents significant challenges in adult patients.
  • Surgical intervention is often necessary to manage severe cases of aortic coarctation.
  • Extra-anatomic bypass offers an alternative surgical approach for aortic reconstruction.

Purpose:

  • To evaluate the efficacy and safety of extra-anatomic bypass for complex adult aortic coarctation.
  • To assess perioperative outcomes and long-term graft patency.
  • To determine the impact on blood pressure and hypertension management.

Summary:

  • Fifty-one adult patients with complex aortic coarctation underwent extra-anatomic aortic bypass (ascending-to-descending, abdominal, or femoral aorta bypass).
  • Concomitant procedures included aortic valve and root replacements, ascending aorta replacement, and coronary artery bypass grafting.
  • Mean follow-up was 30 months, showing significant blood pressure improvement, well-controlled hypertension, and patent grafts without complications.

Impact:

  • Extra-anatomic bypass is a safe and effective surgical strategy for complex aortic coarctation in adults.
  • The procedure leads to significant improvements in upper-extremity blood pressure and hypertension control.
  • Long-term graft patency is high, with no instances of obstruction or pseudoaneurysm formation observed.