Aortic Arch Reconstruction in Infants Using Autologus Pericardium

Aortic Valve Reconstruction Using Autologous Pericardium for Aortic Stenosis.

BACKGROUND To determine the feasibility of original aortic valve reconstruction (AVRec) for patients with aortic stenosis (AS), 416 consecutive cases were reviewed. METHODS AND RESULTS AVRecs for AS were performed for 416 patients from April 2007 through April 2013. All 416 patients were retrospectively reviewed. One hundred and fourteen patients had bicuspid valves and 16 had unicuspid valve...

Open aortic arch reconstruction.

Aortic arch reconstruction remains a formidable operative procedure. Pioneering work by DeBakey et al. in 1957 identified neurological complications as a predominant cause of high mortality rate (1). The introduction of deep hypothermic circulatory arrest (HCA) by Griepp et al. simplified the operative approach and established a safe strategy for neuroprotection (2). Seminal work by Crawford an...

Aortic arch reconstruction using regional perfusion without circulatory arrest.

OBJECTIVES Deep hypothermic circulatory arrest during repair of aortic arch anomalies may induce neurological complications or myocardial injury. Regional cerebral and myocardial perfusion may eliminate those potential side effects. METHODS From March 2000 to March 2002, 48 neonates or infants with complex arch anomaly were operated on using the regional perfusion technique. Thirty-three pati...

Percutaneous reconstruction of interrupted aortic arch in an adult.

Aortic Arch Thrombosis Mimicking Interrupted Aortic Arch

We report a case of a 32-week-gestation male who presented initially with symptoms suggestive of an interrupted aortic arch. The absence of a VSD prompted further investigations, including a CT angiogram, which revealed that he had an extensive thrombus in his aorta. He underwent a successful aortic thrombectomy with arch repair on cardiopulmonary bypass support. In view of the extensive thromb...