Juxtaductal coarctation with type B dissection of the aorta: A new operative technique Anil Bhan, MCh, Saket Agarwal, MS, Rajesh Sharma, MCh, Pannangipalli.

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Presentation transcript:

Juxtaductal coarctation with type B dissection of the aorta: A new operative technique Anil Bhan, MCh, Saket Agarwal, MS, Rajesh Sharma, MCh, Pannangipalli Venugopal, MCh The Journal of Thoracic and Cardiovascular Surgery Volume 123, Issue 2, Pages 365-367 (February 2002) DOI: 10.1067/mtc.2002.119332 Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Sagittal oblique cine magnetic resonance image of the aorta showing postductal coarctation. The descending aorta beyond the coarctated segment shows type B dissection. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 365-367DOI: (10.1067/mtc.2002.119332) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Sagittal oblique cine magnetic resonance image of the aorta showing the coarctated segment. The descending thoracic aorta shows evidence of an intimal flap with differential flow within the true and false lumina. Signal void is seen at the root of the aorta during diastole, suggestive of aortic regurgitation. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 365-367DOI: (10.1067/mtc.2002.119332) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Diagrammatic representation of the operation showing the excluded segment of aorta with massive inflow collaterals and the graft in situ.A, Proximal anastomosis; B, inflow collaterals; C, excluded segment of aorta; D, distal anastomosis with reconstructed cuff. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 365-367DOI: (10.1067/mtc.2002.119332) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Postoperative intra-arterial digital subtraction angiogram of the aorta shows good reconstruction with no anastomotic narrowing and good distal flow. No evidence of contrast leak is seen. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 365-367DOI: (10.1067/mtc.2002.119332) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions