Kristofer M. Charlton-Ouw, MD, FACS, Maria E. Codreanu, MD, Samuel S

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Presentation transcript:

Open repair of adult aortic coarctation mostly by a resection and graft replacement technique Kristofer M. Charlton-Ouw, MD, FACS, Maria E. Codreanu, MD, Samuel S. Leake, BS, Harleen K. Sandhu, MD, MPH, Daniel Calderon, MD, Ali Azizzadeh, MD, FACS, Anthony L. Estrera, MD, FACS, Hazim J. Safi, MD, FACS Journal of Vascular Surgery Volume 61, Issue 1, Pages 66-72 (January 2015) DOI: 10.1016/j.jvs.2014.06.010 Copyright © 2015 Terms and Conditions

Fig 1 Intraoperative image of prominent intercostal arteries surrounding aortic coarctation segment. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 2 Dissection and transection of the aorta below the diseased aortic segment. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 3 Image of resected aortic coarctation segment. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 4 Schematic image of “distal-first” anastomosis. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 5 Schematic image of distal aortic perfusion through left inferior pulmonary vein and a side-arm graft to the distal aortic anastomosis. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 6 Creation of the proximal anastomosis. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions

Fig 7 Survival curve for adult patients after open surgical coarctation repair. Journal of Vascular Surgery 2015 61, 66-72DOI: (10.1016/j.jvs.2014.06.010) Copyright © 2015 Terms and Conditions