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J Thorac Cardiovasc Surg 2003;126:597-598
© 2003 The American Association for Thoracic Surgery

Brief communication

A safe strategy for surgical repair of coarctation of the aorta in an adult

Akira Yamada, MD, PhDa, Kiyofumi Morishita, MD, PhDa, Nobuyoshi Kawaharada, MD, PhDa, Jyoji Fukada, MD, PhDa, Takuma Satsu, MDa, Tomio Abe, MD, PhDa,*

a Department of Surgery (II), Sapporo Medical University School of Medicine, Hokkaido, Japan

Received for publication November 18, 2002; accepted for publication November 25, 2002.

* Address for reprints: Professor Tomio Abe, Chair, Department of Surgery (II), Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan
tabe@sapmed.ac.jp

The first 20% of the full text of this article appears below.


Yamada, Morishita, Abe, Kawaharada, Fukada (left to right)


In adults, coarctation of the aorta is usually accompanied by dilatation of the aorta at a site distal to the coarctation, and graft replacement of the aorta is therefore usually performed. Pathological study of coarctation has revealed that median necrosis of the aorta and aortic injury may occur as a result of crossclamping a portion of the aorta to the site of coarctation. Herein, we report a successful surgical repair of coarctation of the aorta by graft replacement using open anastomosis technique under the condition of deep-hypothermic circulatory arrest and a central cannulation technique. These techniques appear to be safe, and we recommend that they be used as a standard procedure for surgical repair of coarctation of the aorta in adults.

Clinical summary

A 57-year-old woman had been followed up for coarctation of the aorta (postductal type) and descending aortic aneurysm for 9 years. The size of the aortic . . . [Full Text of this Article]




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