Reverse Subclavian Flap Repair and Maintenance of Antegrade Blood Flow within the Left Subclavian Artery in Neonates with Aortic Coarctation and Distal Arch Hypoplasia

Authors

  • Yuri S. Sinelnikov
  • A. V. Gorbatyh
  • S. M. Ivantsov
  • M. S. Strelnikova
  • I. A. Kornilov
  • Y. N. Gorbatyh

DOI:

https://doi.org/10.1532/HSF98.20121044

Abstract

Surgical palliation for aortic coarctation with aortic arch hypoplasia in neonates and infants has been used in the clinic as the most beneficial treatment for this disorder. This technique allows the correction of aortic coarctation by the use of "extended" anastomosis without cardiopulmonary bypass, which expands the hypoplastic distal aortic arch via the use of a reverse subclavian flap repair. This technique maintains antegrade blood flow within the left subclavian artery.

References

Dodge-Khatami A, Backer CL, Mavroudis C. 2000. Risk factors for recoarctation and results of reoperation: a 40-year review. J Card Surg 15:369-77.nKanter KR, Vincent RN, Fyfe DA. 2001. Reverse subclavian flap repair of hypoplastic transverse aorta in infancy. Ann Thorac Surg 71:1530-6.nLim C, Kim WH, Kim SC, et al. 2003. Aortic arch reconstruction using regional perfusion without circulatory arrest. Eur J Cardiothorac Surg 23:149-55.nPandey R, Jackson M, Ajab S, Gladman G, Pozzi M. 2006. Subclavian flap repair: review of 399 patients at median follow-up of fourteen years [abstract]. Ann Thorac Surg 81:14208.n

Published

2013-02-25

How to Cite

Sinelnikov, Y. S., Gorbatyh, A. V., Ivantsov, S. M., Strelnikova, M. S., Kornilov, I. A., & Gorbatyh, Y. N. (2013). Reverse Subclavian Flap Repair and Maintenance of Antegrade Blood Flow within the Left Subclavian Artery in Neonates with Aortic Coarctation and Distal Arch Hypoplasia. The Heart Surgery Forum, 16(1), E52-E56. https://doi.org/10.1532/HSF98.20121044

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Article