Carlos M. Mery, MD, MPH, Francisco A. Guzmán-Pruneda, MD, Kathleen E

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Presentation transcript:

Aortic Arch Advancement for Aortic Coarctation and Hypoplastic Aortic Arch in Neonates and Infants Carlos M. Mery, MD, MPH, Francisco A. Guzmán-Pruneda, MD, Kathleen E. Carberry, RN, MPH, Carmen H. Watrin, RN, MSN, Grant R. McChesney, BS, Joyce G. Chan, RN, Iki Adachi, MD, Jeffrey S. Heinle, MD, E. Dean McKenzie, MD, Charles D. Fraser, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages 625-633 (August 2014) DOI: 10.1016/j.athoracsur.2014.04.051 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical technique. (A) The procedure is performed with the use of bicaval cannulation and a graft sutured to the innominate artery to provide antegrade cerebral perfusion. (B) The ductus arteriosus is divided, and (C) the descending aorta is widely mobilized to allow for a tension-free anastomosis. (D) The isthmus is divided, (E) the ductal tissue is excised, and the descending aorta is prepared for anastomosis. (F) An incision is made on the undersurface of the distal ascending aorta and proximal aortic arch, and (G) the anastomosis is created. (H) completed repair. (Reprinted with permission from Texas Children's Hospital, copyright 2014.) The Annals of Thoracic Surgery 2014 98, 625-633DOI: (10.1016/j.athoracsur.2014.04.051) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier curve showing the freedom from reintervention for each of the groups. (AAA = aortic arch advancement; proc. = procedure; VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2014 98, 625-633DOI: (10.1016/j.athoracsur.2014.04.051) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions