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CC BY 4.0 · Aorta (Stamford) 2021; 09(06): 228-230
DOI: 10.1055/s-0041-1739483
Case Report

Role of Extra-anatomic Ascending to Descending Bypass in Complex Thoracic Aortic Pathology

Mariano Camporrotondo 
1   Department of Cardiac Surgery, Instituto Cardiovascular Buenos Aires, Buenos Aires, Argentina
,
Sebastian Pagni
2   Department of Cardiac Surgery, Baptist Health Louisville, Louisville, Kentucky
› Author Affiliations Funding None.
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Abstract

Complex pathology of the distal arch and proximal descending thoracic aorta is usually approached by stent endografting or in situ graft replacement. Oftentimes, these options are not feasible due to unfavorable anatomy, multiple previous procedures, active infection, or presence of concomitant cardiac disease. Thoracic aortic extra-anatomic bypass, as part of an open surgical strategy, is a useful and often the only curative option left for the treatment in these patients. Herein, we describe two cases that illustrate the utility of extra-anatomic thoracic aortic bypass for complex aortic disease.

Keywords

TEVAR infection - complex aortic coarctation - ascending–descending bypass


Publication History

Received: 11 September 2020

Accepted: 02 July 2021

Article published online:
28 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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