Interruption of the Ascending Aorta: A Hitherto Undescribed Lesion

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Presentation transcript:

Interruption of the Ascending Aorta: A Hitherto Undescribed Lesion Michael Weidenbach, MD, Ingo Daehnert, MD, Vit Razek, MD, Alexandra Beller, MD, Jan Janousek, MD, Martin Kostelka, MD, Robert H. Anderson, MD The Annals of Thoracic Surgery Volume 85, Issue 4, Pages 1451-1453 (April 2008) DOI: 10.1016/j.athoracsur.2007.10.078 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Angiogram of ascending aorta reveals that this trunk supplies only the coronary arteries. (B) Angiogram of descending aorta, having advanced the catheter through the arterial duct, shows retrograde filling of the brachiocephalic arteries. (C) Drawing showing the anatomy. The shaded area marks the aortic pouch. (*Left coronary artery; **right coronary artery; ***accessory infundibular branch arising from the right coronary sinus; AD = arterial duct; Ao arch = aortic arch; PT = pulmonary trunk.) The Annals of Thoracic Surgery 2008 85, 1451-1453DOI: (10.1016/j.athoracsur.2007.10.078) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Anatomy as seen during the surgical procedure. (B) Arrangement after reconstruction of the aortic arch. (*Native ascending aorta; **neoaorta; arrow represents distal anastomosis; arrowhead represents anastomosis from pulmonary trunk to aortic pouch.) The Annals of Thoracic Surgery 2008 85, 1451-1453DOI: (10.1016/j.athoracsur.2007.10.078) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions