Abstract
Results of aortic arch repair for interrupted aortic arch or aortic coarctation have
considerably improved. However, re-stenosis or aneurysm formation is a common complication
requiring complex re-interventions or even extra-anatomic bypass grafting. In two
patients with recurrent coarctation, the use of cardiopulmonary bypass was mandatory,
in one due to the concomitant repair of the intra-cardiac defect, in the other due
to the small aortic arch, the long segment aortic coarctation and the small diameter
of the supra-aortic vessels. In both patients a segment of the ascending aorta was
interposed between the distal aortic arch and the proximal descending aorta with uneventful
postoperative courses and freedom from pathological findings at 1 year and 6 months
follow-up. In patients undergoing complex congenital heart surgery involving the ascending
aorta, a segment of the autologous ascending aorta may be used to repair recurrent
isthmic stenosis, avoiding the use of any foreign material.
Key words
Aortic arch - coarctation - repair
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OA Dr. med. Ivo Martinovic
Department of Cardiothoracic Surgery
Philipps University Marburg
Baldinger Straße 6
35033 Marburg
Germany
Telefon: + 4964212862122
Fax: + 49 6 42 12 86 89 52
eMail: martinov@med.uni-marburg.de
