Are we ready for cosmetic surgery on aortic arches after Norwood?

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Presentation transcript:

Are we ready for cosmetic surgery on aortic arches after Norwood? Ajay J. Iyengar, MBBS, PhD, FRACS, Yves d'Udekem, MD, PhD, FRACS The Journal of Thoracic and Cardiovascular Surgery Volume 157, Issue 2, Pages 696-698 (February 2019) DOI: 10.1016/j.jtcvs.2018.10.080 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Effective surgical arch augmentation can be achieved simply by the addition of a patch. A, An incision is made across the obstruction in the axis of the aorta. B, After patch augmentation. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 696-698DOI: (10.1016/j.jtcvs.2018.10.080) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Arch reintervention up to and including the time of Fontan operation is associated with an increased risk of adverse events (death, takedown, transplantation, supraventricular tachycardia, thromboembolism, or pacemaker implantation) after the Fontan operation, likely because these patients have historically been treated late or left with residual obstruction. Data from the Australian and New Zealand Fontan Registry.4 The Journal of Thoracic and Cardiovascular Surgery 2019 157, 696-698DOI: (10.1016/j.jtcvs.2018.10.080) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Effective surgical arch augmentation can be achieved simply by the addition of a patch. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 696-698DOI: (10.1016/j.jtcvs.2018.10.080) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions