Left subclavian to descending aorta bypass: A less invasive extra-anatomical solution for a type A interrupted aortic arch

Christopher Garcia, Jorge Rey, Alberto Lopez, Joseph Lamelas, Vicente Orozco-Sevilla

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1117-1119
Number of pages3
JournalJournal of cardiac surgery
Volume34
Issue number10
DOIs
StatePublished - Oct 1 2019

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Thoracic Aorta
Subclavian Artery
Polyethylene Terephthalates
Live Birth
Transplants
Incidence

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 journalArticle

Garcia, Christopher ; Rey, Jorge ; Lopez, Alberto ; Lamelas, Joseph ; Orozco-Sevilla, Vicente. / Left subclavian to descending aorta bypass : A less invasive extra-anatomical solution for a type A interrupted aortic arch. In: Journal of cardiac surgery. 2019 ; Vol. 34, No. 10. pp. 1117-1119.
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