Abstract
Interrupted aortic arch (IAA) is defined as a discontinuity of the aortic lumen from the aortic arch to the descending aorta. The incidence of this congenital malformation is three per million live births. It represents about 1.5% of congenital cardiac abnormalities. The classification system for IAA is divided into three distinct categories—type A: interruption of the lumen distal to the left subclavian artery, occurring in 43% cases; type B: interruption between the left carotid and left subclavian arteries, occurring in 53% cases (the most common); and type C: interruption between the innominate and left carotid, occurring in 4% cases. We describe the case of a 47-year-old woman who had a symptomatic type A IAA. A single-stage extra-anatomic bypass was performed between the left subclavian and the descending thoracic aorta using a 14 mm Dacron graft. The use of this approach is an option to solve this challenging clinical problem.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1117-1119 |
| Number of pages | 3 |
| Journal | Journal of cardiac surgery |
| Volume | 34 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1 2019 |
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ASJC Scopus subject areas
- Surgery
- Pulmonary and Respiratory Medicine
- Cardiology and Cardiovascular Medicine
Cite this
Left subclavian to descending aorta bypass : A less invasive extra-anatomical solution for a type A interrupted aortic arch. / Garcia, Christopher; Rey, Jorge; Lopez, Alberto; Lamelas, Joseph; Orozco-Sevilla, Vicente.
In: Journal of cardiac surgery, Vol. 34, No. 10, 01.10.2019, p. 1117-1119.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Left subclavian to descending aorta bypass
T2 - A less invasive extra-anatomical solution for a type A interrupted aortic arch
AU - Garcia, Christopher
AU - Rey, Jorge
AU - Lopez, Alberto
AU - Lamelas, Joseph
AU - Orozco-Sevilla, Vicente
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Interrupted aortic arch (IAA) is defined as a discontinuity of the aortic lumen from the aortic arch to the descending aorta. The incidence of this congenital malformation is three per million live births. It represents about 1.5% of congenital cardiac abnormalities. The classification system for IAA is divided into three distinct categories—type A: interruption of the lumen distal to the left subclavian artery, occurring in 43% cases; type B: interruption between the left carotid and left subclavian arteries, occurring in 53% cases (the most common); and type C: interruption between the innominate and left carotid, occurring in 4% cases. We describe the case of a 47-year-old woman who had a symptomatic type A IAA. A single-stage extra-anatomic bypass was performed between the left subclavian and the descending thoracic aorta using a 14 mm Dacron graft. The use of this approach is an option to solve this challenging clinical problem.
AB - Interrupted aortic arch (IAA) is defined as a discontinuity of the aortic lumen from the aortic arch to the descending aorta. The incidence of this congenital malformation is three per million live births. It represents about 1.5% of congenital cardiac abnormalities. The classification system for IAA is divided into three distinct categories—type A: interruption of the lumen distal to the left subclavian artery, occurring in 43% cases; type B: interruption between the left carotid and left subclavian arteries, occurring in 53% cases (the most common); and type C: interruption between the innominate and left carotid, occurring in 4% cases. We describe the case of a 47-year-old woman who had a symptomatic type A IAA. A single-stage extra-anatomic bypass was performed between the left subclavian and the descending thoracic aorta using a 14 mm Dacron graft. The use of this approach is an option to solve this challenging clinical problem.
UR - http://www.scopus.com/inward/record.url?scp=85072944857&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072944857&partnerID=8YFLogxK
U2 - 10.1111/jocs.14173
DO - 10.1111/jocs.14173
M3 - Article
C2 - 31344271
AN - SCOPUS:85072944857
VL - 34
SP - 1117
EP - 1119
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
SN - 0886-0440
IS - 10
ER -