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Extra-anatomic aortic bypass for complex (re-) coarctation and hypoplastic aortic arch in adolescents and adults

Department of Cardiovascular Surgery, Swiss Cardiovascular Center, University Hospital, CH-3010 Bern, Switzerland

^* Corresponding author. Tel.: +41-31-632-9268; fax: +41-31-632-2919
pascal.berdat{at}insel.ch

Various surgical approaches have been proposed for complex (re-) coarctation and aortic arch hypoplasia (AAH). We report seven patients (mean age 19.6±9.5 years) with complex coarctation or re-coarctation and AAH successfully treated by extra-anatomic ascending-to-descending aortic bypass (ADB) via sternotomy between 1995 and 2002 without mortality and no relevant complication early postoperatively and during a follow-up of 24±29 (0.2–84) months. ADB may therefore be considered in selected patients with (re-) coarctation with AAH, with the need for concomitant ascending aortic or cardiac surgery and in patients with aortic arch stenosis and increased risk of complications under DHCA.

Key Words: Extraanatomic bypass; Ascending–descending aortic bypass; Recoarctation

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