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J Thorac Cardiovasc Surg 2006;132:433-434
© 2006 The American Association for Thoracic Surgery

Brief Communication

Ascending–descending aortic bypass with the aid of a heart-lifting device

Alejandro Aris, MD, PhD a , * , Javier Cobiella, MD a , Maria Luz Maestre, MD b , Maria Teresa Subirana, MD c

a Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Department of Anesthesia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
c Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

Received for publication April 7, 2006; accepted for publication April 20, 2006.

* Address for reprints: Alejandro Aris, MD, PhD, Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, Avenida San A. M. Claret 167, 08025 Barcelona, Spain (Email: aaris@santpau.es).

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


Figure 1
Drs Aris, Cobiella, Maestre, and Subirana (left to right)


Extra-anatomic aortic bypass from the ascending to the descending aorta is an alternative for repair of complex aortic anomalies. We describe a case of repair of recoarctation of the aorta through a median sternotomy and posterior pericardial approach in which surgical exposure of the retrocardiac aorta was obtained by means of a heart-lifting device (Starfish 2; Medtronic, Inc, Minneapolis, Minn) commonly used in off-pump coronary artery bypass grafting.

Clinical Summary

A 70-year-old man was seen with dyspnea on exertion and intermittent claudication. He was hypertensive, in atrial fibrillation, and taking oral anticoagulants. His medical history included repair of aortic coarctation (end-to-end anastomosis) 29 years previously. Echocardiography showed left ventricular hypertrophy with moderately depressed left ventricular function (ejection fraction 40%). He underwent aortic angiography, . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. S. Krishnan, R. Agarwal, and K. M. Cherian
Ascending-descending aortic bypass with the aid of a heart-lifting device
J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 277 - 278.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Aris, M. L. Maestre, and M. T. Subirana
Reply to the Editor
J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 278 - 278.
[Full Text] [PDF]


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