Axillo-iliac artery bypass for recurrent aortic coarctation to reduce cardiac afterload

Yoshiyuki Yamashita, Hideki Tatewaki, Takashi Matsumoto, Akira Shiose

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 13-year-old girl, who had undergone interrupted aortic arch repair with an 8-mm graft as a neonate and Fontan completion in childhood, developed ventricular fibrillation due to long-QT syndrome. Cardioverter defibrillator implantation was planned. Preoperative catheterization showed a 45-mmHg aortic pressure gradient and ventricular end-diastolic pressure of 11 mmHg. This indicated that recurrent coarctation had adversely affected ventricular function. After consideration of the patient's age, symptoms and anatomical/surgical complexities, axillo-iliac bypass with cardioverter defibrillator implantation was performed. Postoperative ventricular end-diastolic pressure was 6 mmHg. Axillo-iliac bypass is a surgical option for coarctation that can reduce cardiac afterload.

Original languageEnglish
Pages (from-to)626-628
Number of pages3
JournalInteractive cardiovascular and thoracic surgery
Volume27
Issue number4
DOIs
Publication statusPublished - Oct 1 2018

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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