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Eur J Cardiothorac Surg 2007;32:663. doi:10.1016/j.ejcts.2007.06.028
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Images in cardio-thoracic surgery

Ascending-to-descending aortic extra-anatomic graft

Cristina Carroa,*, Pascal Chabrotb, Lionel Camilleria, Charles de Riberollesa

a CHU Clermont-Ferrand, Chirurgie Cardio-Vasculaire, Université Clermont1, Faculté de Médecine, F-63001 Clermont-Ferrand, France
b Imagerie Viscérale et Vasculaire B, Hôpital Gabriel Montpied, F 63003 Clermont-Ferrand, France

Received 12 March 2007; received in revised form 18 June 2007; accepted 18 June 2007.

* Corresponding author. Address: Service de Chirurgie Cardio-Vasculaire, CHU Gabriel Montpied, B.P. 69, 63003 Clermont-Ferrand Cedex 1, France. Tel.: +33 4 7375 1576; fax: +33 4 7375 1579. (Email: ccarro{at}chu-clermontferrand.fr).

Key Words: Aortic coarctation

A 71-year-old woman with isthmic aortic coarctation underwent aortic valve replacement and coronary bypass. Before aortic clamping, end-to-side anastomosis to descending aorta was performed. After cardiac surgery, the graft was directed posterior to the inferior vena cava and anastomosed to the ascending aorta by using a side-biting clamp (Fig. 1 ).


Figure 1
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  		Fig. 1. Three-dimensional computed tomographic image (18-month postoperatively) showing isthmic aortic coarctation and ascending-to-descending aortic bypass performed using an 18 mm Dacron graft. The postoperative outcome was uneventful and the patient continues to do well 25 months postoperatively.

 





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Right arrow Cardiac - other
Right arrow Congenital - acyanotic
Right arrow Great vessels
Right arrow Peripheral vascular

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