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Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

Published online by Cambridge University Press:  19 August 2008

Ganga Prabhakar
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Naresh Kumar
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Zohair Al Halees
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
Neil Wilson*
Affiliation:
From the Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh
*
Dr. Neil Wilson, Department of Cardiovascular Diseases (MBC 16), King Faisal Specialist Hospital, P.O. Box 3354, Riyadh 11211, Saudi Arabia. Tel. 966 I 442 7472; Fax. 966 1 442 7482.

Abstract

Repair of severe hypoplasia of the aortic arch with coarctation must be based on the individual anatomy of the lesion and, where necessary, one should take into consideration associated cardiac abnormalities. We report a surgical technique which was employed when standard procedures for reconstruction of the arch had failed to relieve the obstruction adequately. A conduit from the carotid artery to the descending aorta was used successfully in two patients to abolish residual stenosis.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1993

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