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Related Concept Videos

Aneurysm I: Introduction01:30

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...
The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
The Aorta01:14

The Aorta

The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...

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Anatomical reconstruction of proximal coronary artery stenosis in children.

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Related Experiment Video

Updated: May 13, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Coarctation of the aorta.

R Prêtre1

  • 1Clinic for Cardiovascular Surgery, University Hospital Zürich, Zürich, Switzerland.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
|February 27, 2013
PubMed
Summary

Surgical repair of aortic coarctation involves resecting the narrowed section and suturing the aorta. Techniques like arch enlargement and bypass grafting address complex cases and post-surgical stenosis.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology

Background:

  • Aortic coarctation is a congenital heart defect causing narrowing of the aorta.
  • Surgical intervention is often necessary for treatment, especially in cases of hypoplastic aortic arch or post-surgical stenosis.

Purpose of the Study:

  • To describe surgical strategies for aortic coarctation repair.
  • To outline methods for managing hypoplastic distal aortic arch and postsurgical aortic arch stenosis.

Main Methods:

  • Resection of the stenotic aortic segment with direct aortic suture.
  • Extended aortic mobilization for distal arch enlargement.
  • Patch enlargement of the distal aortic arch in ductal-dependent circulations.
  • Anatomic correction with enlargement plasty (concave or convex) for arch stenosis.
Keywords:
aortic archcoarctationenlargement plastyextended resection

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Last Updated: May 13, 2026

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 grafting as an alternative surgical option.
  • Main Results:

    • Direct suture repair is effective for aortic coarctation.
    • Extended mobilization and patch enlargement can address hypoplastic distal aortic arches.
    • Anatomic correction with enlargement plasty is the preferred method for postsurgical aortic arch stenosis.

    Conclusions:

    • Surgical techniques for aortic coarctation vary based on anatomy and complexity.
    • Enlargement plasty and bypass grafting are valuable options for managing challenging aortic arch reconstructions.