Apical Suction Device Facilitating Off-Pump Bypass for Recurrent Coarctation: Case Report
DOI:
https://doi.org/10.1532/HSF98.20041007Abstract
Apical suction devices to perform complete surgical revascularization without cardiopulmonary bypass have been recently introduced in cardiac surgical practice. We have increasingly explored the possibility of using these devices to perform other procedures on a beating heart that have previously necessitated the need for cardiopulmonary bypass. We present a case of recurrent coarctation in which an ascending-to-abdominal aorta bypass graft was successfully facilitated by the use of an apical suction device. The surgical technique and advantages and disadvantages of this method are highlighted.References
Athanasiou T, Kumar P, Al Ruzzeh S, et al. 2003. Expanded use of suction and stabilization devices in cardiothoracic surgery. Ann Thorac Surg 76:1126-30.nBadmanaban B, Sachithanandan A, Sarsam MA. 2002. Transpericardial extra-anatomic intrathoracic aortic bypass conduits in the management of coarctation of the aorta. J Card Surg 17(5):400-2.nCaspi J, Ilbawi MN, Milo S, et al. 1997. Alternative techniques for surgical management of recoarctation. Eur J Cardiothorac Surg 12:116-9.nConnolly HM, Schaff HV, Izhar U, Dearani JA, Warnes CA, Orszulak TA. 2001. Posterior pericardial ascending-to-descending aortic bypass: an alternative surgical approach for complex coarctation of the aorta. Circulation 104(suppl 1):I133-7.nJacob T, Cobanoglu A, Starr A. 1998. Late results of ascending aorta-descending aorta bypass grafts for recurrent coarctation of aorta. J Thorac Cardiovasc Surg 95:782-7.nKappetein AP, Zwinderman AH, Bogers AJJ, Rohmer J, Huysmans HA. 1994. More than thirty-five years of coarctation repair: an unexpected high relapse rate. J Thorac Cardiovasc Surg 107:87-95.nRokkas CK, Murphy SF, Kouchoukos NT. 2002. Aortic coarctation in the adult: management of complications and coexisting arterial abnormalities with hypothermic cardiopulmonary bypass and circulatory arrest. J Thorac Cardiovasc Surg 124(1):155-61.nSweeney MS, Walker WE, Duncan JM, et al. 1985. Reoperation for aortic coarctation: techniques, results and indications for various approaches. Ann Thorac Surg 40:46-9.nVan Heurn LWE, Wong CM, Spiegelhalter DJ, et al. 1994. Surgical treatment of aortic coarctation in infants younger than three months: 1985 to 1990. J Thorac Cardiovasc Surg 107:74-86.nVijayanagar R, Natarajan P, Eckstein PF, Bognolo DA, JC Toole. 1980. Aortic valvular insufficiency and postductal aortic coarctation in the adult. Combined surgical management through median sternotomy: a new surgical approach. J Thorac Cardiovasc Surg 79:266-8.nWukasch DC, Cooley DA, Sandiford FM, Nappi G, Reul GJ Jr. 1977. Ascending aorta-abdominal aorta bypass: indications, technique, and report of 12 patients. Ann Thorac Surg 23(5):442-8.n
