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Total arch replacement for re-coarctation of the aorta after a Norwood procedure

Total arch replacement for re-coarctation of the aorta after a Norwood procedure This is the first report of total arch replacement to repair re-coarctation. A 14-year-old boy with hypoplastic left heart syndrome developed re-coarctation, severe stenosis of neck vessels, and right ventricle dysfunction after a Norwood procedure. We performed total arch replacement; the postoperative course was unremarkable. He was followed up until 18 years of age and did not need re-intervention. Using artificial blood vessels in total arch replacement is rarely indicated but can be safely achieved when required. Mismatch between patient and graft size may be an issue in the future. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asian Cardiovascular and Thoracic Annals SAGE

Total arch replacement for re-coarctation of the aorta after a Norwood procedure

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Publisher
SAGE
Copyright
© The Author(s) 2023
ISSN
0218-4923
eISSN
1816-5370
DOI
10.1177/02184923231151568
Publisher site
See Article on Publisher Site

Abstract

This is the first report of total arch replacement to repair re-coarctation. A 14-year-old boy with hypoplastic left heart syndrome developed re-coarctation, severe stenosis of neck vessels, and right ventricle dysfunction after a Norwood procedure. We performed total arch replacement; the postoperative course was unremarkable. He was followed up until 18 years of age and did not need re-intervention. Using artificial blood vessels in total arch replacement is rarely indicated but can be safely achieved when required. Mismatch between patient and graft size may be an issue in the future.

Journal

Asian Cardiovascular and Thoracic Annals – SAGE

Published: Mar 1, 2023

Keywords: Re-coarctation; total arch replacement; artificial blood vessel; hypoplastic left heart syndrome

References

  • Hypoplastic left heart syndrome: hemodynamic and angiographic assessment after initial reconstructive surgery and relevance to modified Fontan procedure
    Chang, AC; Farrell, PE; Murdison, KA
  • Factors affecting long-term risk of aortic arch recoarctation after the Norwood procedure
    Ashcraft, TM; Jones, K; Border, WL
  • Neoaortic aneurysm after stage I Norwood reconstruction
    Ehsan, A; Singh, H; Vargas, SO
  • Aneurysm formation after the Norwood procedure: case report and review of the literature
    Herrmann, JL; Lewis, MJ; Fuller, S
  • Recoarctation after Norwood I procedure for hypoplastic left heart syndrome: impact of patch material
    Vitanova, K; Cleuziou, J; Pabst Von Ohain, J