Congenital native interruption of aortic arch in an adult: Extra-anatomic approach by right-side thoracotomy Roland Henaine, MD, Fadoua Lachhab, MD,

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Presentation transcript:

Congenital native interruption of aortic arch in an adult: Extra-anatomic approach by right-side thoracotomy Roland Henaine, MD, Fadoua Lachhab, MD, Mathieu Vergnat, MD, Fabrice Wautot, MD, Jean Ninet, MD, PhD, Joseph Nloga, MD Journal of Vascular Surgery Volume 51, Issue 6, Pages 1525-1527 (June 2010) DOI: 10.1016/j.jvs.2010.01.055 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Preoperative magnetic resonance angiography (MRA) profile shows the type A aortic arch interruption and the collateral bypass originating from the left subclavian artery (LSA). B, Postoperative MRA profile shows the permeability of the extra-anatomic tube (EAT). AA, Ascending aorta; C, collaterals; DA, descending aorta; I, intercostals; RIMA, right internal mammary artery. Journal of Vascular Surgery 2010 51, 1525-1527DOI: (10.1016/j.jvs.2010.01.055) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Scheme after the extra-anatomic tube (EAT) bypass shows that the thoracic descending aorta (DA) is behind the esophagus, which has been mobilized to the anterior side, and both anastomoses have been done after partial clamping of the aorta. AA, Ascending aorta; PA, pulmonary artery; RA, right atrium; RD, right diaphragm; VCS, vena cava superior. Journal of Vascular Surgery 2010 51, 1525-1527DOI: (10.1016/j.jvs.2010.01.055) Copyright © 2010 Society for Vascular Surgery Terms and Conditions