Abstract
Coarctation of the aorta is a common congenital abnormality that may be associated with serious and rare anomalies like aneurysms. Severe coarctation or interrupted aortic arch in adults is usually managed by percutaneous interventions or extra-anatomic bypass. However, the presence of an aneurysm beyond the coarcted segment implies the opening of a collateral-rich segment of the aorta with redressal of the arch if hypoplastic. We describe our experience in managing three such patients through antero-lateral thoracotomy with antegrade cerebral perfusion. We have found this technique helpful in treating aneurysms of the distal aortic arch or proximal descending thoracic aorta.
Similar content being viewed by others
References
Cambell M. Natural history of coarctation of the aorta. Br Heart J. 1970;32:633–40.
Skandalakis JE, Edwards BF, Gray SW, Davis BM, Hopkins WA. Coarctation of the aorta with aneurysm. Int Abstr Surg. 1960;111:307–26.
von Kodolitsch Y, Aydin MA, Koschyk DH, Loose R, Schalwat I, Karck M, et al. Predictors of aneurysmal formation after surgical correction of aortic coarctation. J Am Coll Cardiol. 2002;39:617–24.
Aggarwal P, Mahajan S, Raja J, Negi S. Repair of distal arch and proximal descending thoracic aorta aneurysms through left antero-axillary thoracotomy with antegrade cerebral perfusion: bridging the gap. Indian J Thorac Cardiovasc Surg. 2020;36:248–50.
Sasaguri S, Yamamoto S, Fukuda T, Hosoda Y. Anteroaxillary thoracotomy facilitates the use of retrograde cerebral perfusion in distal aortic arch reconstruction. Ann Thorac Surg. 1996;62:1861–2.
Cooley DA. Retrograde replacement of the thoracic aorta. Tex Heart Inst J. 1995;22:162.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Statement of human and animal rights
In accordance with the principles of the Helsinki Declaration, this research respects the rights, dignity, and well-being of human participants, ensuring informed consent, confidentiality, and the ability to withdraw without consequence. No animals were included in the study.
Ethical clearance
Informed consent was received from the patient and was cleared by the departmental ethical committee.
Conflict of interest
The authors declare no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The original online version of this article was. The correct name of the fourth author shoud be Arun Sharma instead of Arun Kumar.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Aggarwal, P., Kumar, N., Mahajan, S. et al. Post-ductal coarctation of aorta aneurysm repair in adult via left antero-axillary thoracotomy with antegrade cerebral perfusion—a case series. Indian J Thorac Cardiovasc Surg (2024). https://doi.org/10.1007/s12055-024-01734-5
Received:
Revised:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12055-024-01734-5