European Journal of Cardio-thoracic Surgery 32 (2007) 663 www.elsevier.com/locate/ejcts
Images in cardio-thoracic surgery
Ascending-to-descending aortic extra-anatomic graft Cristina Carro a,*, Pascal Chabrot b, Lionel Camilleri a, Charles de Riberolles a a
´ Clermont1, Faculte ´ de Me ´decine, F-63001 Clermont-Ferrand, France CHU Clermont-Ferrand, Chirurgie Cardio-Vasculaire, Universite b ´rale et Vasculaire B, Ho ˆpital Gabriel Montpied, F 63003 Clermont-Ferrand, France Imagerie Visce Received 12 March 2007; received in revised form 18 June 2007; accepted 18 June 2007; Available online 3 August 2007
Keyword: Aortic coarctation
A 71-year-old woman with isthmic aortic coarctation underwent aortic valve replacement and coronary bypass. Before aortic clamping, end-to-side anastomosis to descending aorta was performed. After cardiac surgery, the graft was directed posterior to the inferior vena cava and anastomosed to the ascending aorta by using a side-biting clamp (Fig. 1).
Fig. 1. Three-dimensional computed tomographic image (18-month postoperatively) showing isthmic aortic coarctation and ascending-to-descending aortic bypass performed using an 18 mm Dacron graft. The postoperative outcome was uneventful and the patient continues to do well 25 months postoperatively.
* Corresponding author. Address: Service de Chirurgie Cardio-Vasculaire, CHU Gabriel Montpied, B.P. 69, 63003 Clermont-Ferrand Cedex 1, France. Tel.: +33 4 7375 1576; fax: +33 4 7375 1579. E-mail address:
[email protected] (C. Carro). 1010-7940/$ — see front matter # 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2007.06.028
