Aortic coarctation reconstructed by resection and homograft replacement in the 1950s: long-term outcome 40 years after operation Tivadar Hüttl, MD, PhD,

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Presentation transcript:

Aortic coarctation reconstructed by resection and homograft replacement in the 1950s: long-term outcome 40 years after operation Tivadar Hüttl, MD, PhD, György Balázs, MD, László Entz, MD, PhD, Kálmán Hüttl, MD, PhD, Elek Bodor, MD, PhD, Zoltán Szabolcs, MD, PhD The Annals of Thoracic Surgery Volume 73, Issue 5, Pages 1678-1680 (May 2002) DOI: 10.1016/S0003-4975(01)03628-1

Fig 1 Original photo from 1957 shows the aortic coarctation reconstructed by resection and homograft implantation. Arrow indicates proximal anastomosis. The Annals of Thoracic Surgery 2002 73, 1678-1680DOI: (10.1016/S0003-4975(01)03628-1)

Fig 2 (A,B) Forty and 45 mm Hg intraaortic systolic pressure gradient in the descending aorta is shown at 43 and 44 years after homograft implantation (cases 6 and 7). The Annals of Thoracic Surgery 2002 73, 1678-1680DOI: (10.1016/S0003-4975(01)03628-1)

Fig 3 Control computed tomography performed in September 2001 shows an evident, but not severe, sign of calcification in the homograft wall at 44 years after the operation (case 7). Aortic coarctation was reconstructed by resection and homograft implantation in 1957. The Annals of Thoracic Surgery 2002 73, 1678-1680DOI: (10.1016/S0003-4975(01)03628-1)

Fig 4 Control angiography (September 2001) shows a small aneurysm formation in the proximal suture line (arrow), otherwise a normal anatomic situation at 43 years after homograft implantation (case 6). The Annals of Thoracic Surgery 2002 73, 1678-1680DOI: (10.1016/S0003-4975(01)03628-1)