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Reconstruction of the aortic arch in an adolescent female with complex congenital heart disease

Published online by Cambridge University Press:  19 August 2008

Rajiv Verma*
Affiliation:
From the Division of Pediatric Cardiology, New York University Medical Center, New York
Delores Danilowicz
Affiliation:
From the Division of Pediatric Cardiology, New York University Medical Center, New York
Stephen Colvin
Affiliation:
Division of Cardiovascular Surgery, New York University Medical Center, New York
*
Dr. Rajiv Verma, Pediatric Cardiology, Tisch Hospital, Room 576, 560 First Avenue, New York, NY 10016, USA, Tel. (212) 263-6459; Fax. (212) 263-8534.

Abstract

Coarctations of the aortic arch are rare, and when found, they are often associated with other complex congenital heart disease. An adolescent female with multiple coarctations of the aortic arch and ventricular septal defects underwent complete repair, entailing replacement of the aortic arch with a homograft and closure of the ventricular septal defects. The postoperative course was complicated by a tear in the homograft, possibly related to sepsis. After its resolution, her hemodynamic results remain excellent.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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References

1.Fixler, DE. Coarctation of the aorta. Cardiol clin 1988; 6: 561571.CrossRefGoogle ScholarPubMed
2.Tawes, RL, Berry, CL, Aberdeen, E. Congenital bicuspid aortic valve assocated with coarctation of the aorta in children. Br Heart J 1969; 31: 127128.CrossRefGoogle Scholar
3.Behl, PR, Sante, P, Blesovsky, A. Isolated coarctation the aorta: Surgical treatment and late results. 18 years experience. J Cardiovasc Surg 1988; 29: 509517.Google Scholar
4.Iwahara, M, Ino, T, Nishimoto, K. Clinical features of aortic arch anomaly with malalignment ventriculoseptal defect. Ann Thorac Surg 1989; 48: 693696.CrossRefGoogle Scholar
5.Kumar, S, Mandalam, KR, Madhavan, U, Roy, S, Gupta, AK, Rao, VRK. Left cervical arch and associated abnormalities. Cardiovasc Intervent Radiol 1989; 12: 8891.CrossRefGoogle ScholarPubMed
6.Pierce, WS, Vincent, WR, Fitzgerald, E, Miller, FJ. Coarctation of the abdominal aorta with multiple aneurysms. Ann Thorac Surg 1975; 20: 687693.CrossRefGoogle ScholarPubMed
7.Belcher, P, Ross, D. Aortic root replacement. 20 years experience of the use of homografts. Thorac Cardiovasc Surg 1991; 39: 117122.CrossRefGoogle ScholarPubMed
8.Gormand, F, Etienne, J, Rigal, D, Bonnard, M, Fleurette, J, Beaune, J. Tlymphocyte disorder after Capnocytophaga ochracea endocarditis. Infection 1989; 17: 382384.CrossRefGoogle ScholarPubMed