Journal «Angiology and Vascular Surgery» • 

2005 • VOLUME 11 • №1

SUCCESSFUL SURGICAL TREATMENT BY EXTRAANATOMIC BYPASS GRAFTING OF A PSEUDOANEURYSM OF ANASTOMOSIS AFTER AORTIC REPLACEMENT FOR COARCTATION COMPLICATED BY SEPTIC AORTITIS

A.M. Chernyavsky, S.A. Alsov, A.N. Fedorenko, Ye.N. Kliver, Ye.A. Fedorenko
Department of aorta and coronary artery surgery, Ye.N. Meshalkin Novosibirsk Research Institute of Circulatory Pathology,
Novosibirsk, Russia

Presented herein are the results of successful surgical treatment by extraanatomic bypass grafting of coarctation of the aorta complicated by septic aortitis and a pseudoaneurysm of the anastomosis between the graft and aortic arch.

Coarctation of the aorta is a frequently occurring congenital disease of the heart and great vessels, which can be corrected successfully by means of reconstructive operations. The surgeons have to face not infrequently the technical difficulties that may arise on repeat surgical interventions caused by the recoarctation syndrome, superaddition of septic aortitis, and the development of a pseudoaneurysm of anastomoses. Repeat operations are not safe because of exposure and clamping of the aorta due to remarkable commissures. Prediction of the efficacy of the one-stage intervention by means of extraaortic bypass grafting of the ascending abdominal aorta is questionable in terms of the pathogenetic role of infection in the development of pseudoaneurysms and destructive lesion of the aorta over a significant length [5]. In view of this circumstance we believe that the below provided case report where the median access was gained for the purpose of extraanatomic bypass grafting, with exposure of the infrarenal aorta is of interest.

KEY WORDS: coarctation of aorta, pseudoaneurysm of anastomosis.

P. 127

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