Scientific paper
Synthetic patch aortoplasty: A simplified approach for coarctation in repairs during early infancy and thereafter

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Abstract

Synthetic patch aortoplasty is an expedient, safe technique for coarctation repairs during early infancy and thereafter for reoperation since it affords both an immediate hemodynamic result and potential for late growth while avoiding sacrifice of a major arch vessel. The surgical advantages include minimization of the total cross-clamp time (10 minutes in infants and 12 minutes in older patients) and elimination of the need to sacrifice collateral vessels and the need for extensive dissection for proximal and distal control. Hence, this technique has minimized the associated severe complications of coarctation repair, even in emergency cases. In our study, there were no operative deaths, spinal cord injuries or recoarctation, and intraoperative cardiac arrest occurred in only 3 percent of the patients.

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    Citation Excerpt :

    Lynxwiler [172] reported a successful end-to-end anastomosis in an infant in 1951, Vossschulte [173] reported the first prosthetic onlay graft in 1961, and Waldhausen [174] introduced the subclavian patch aortoplasty in 1966. Newer techniques using PTFE [175] and extended end-to-end anastomosis [176] also took their place in the surgeon's armamentarium. The STSA authors contributed to the development, refinement, and evaluation of coarctation and interruption of the aorta over the years.

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Presented at the 12th Annual Meeting of the Society for Clinical Vascular Surgery, Palm Springs, California, March 28–April 1, 1984.

1

From the Departments of Surgery and Pediatrics, University of California, San Francisco, California.

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