The surgical treatment of coarctation of the aorta and interruption of the aortic arch in the first three months of life--effectiveness of temporary bypass between the pulmonary artery and the descending aorta

Hideyuki Shimizu, T. Katogi, R. Aeba, H. Odaguchi, A. Mori, A. Mitsumaru, M. Osako, Y. Inoue, Y. Cho, S. Kawada

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

From February 1987 to January 1994, we operated on 24 patients with coarctation of the aorta (CoA) and 9 patients with interruption of the aortic arch (IAA). A policy of staged repair was followed, consisting of reconstruction of the aortic arch with pulmonary artery banding and ligation of the ductus arteriosus in the first stage and intracardiac repair with pulmonary artery band removal in the second stage. In recent cases an extended aortic arch anastomosis was performed using a heparin-coated "shunt tube" between the pulmonary artery and the descending aorta to maintain blood flow to the lower half of the body during aortic cross-clamping. The use of the shunt increased intraoperative urine output (p < 0.05). This technique may allow patients whose condition is poor to undergo aortoplasty more safely. One patient died. This patient had CoA and total anomalous pulmonary venous return, who underwent a one-stage repair, in violation of our policy (early mortality 3.0%). There were two interim deaths before the second stage repair. At present, 18 patients have undergone staged intracardiac repair, including VSD closure (14 cases), Jatene's procedure (1), Ratelli's procedure (1), Damus-Kaye-Stansel (DKS) procedure (1), total cavo-pulmonary connection (TCPC) + DKS procedure+annuloplasty of a common atrioventricular valve (1). There were two early deaths and one late death following intracardiac repair, all in patients with IAA plus VSD.

Original languageEnglish
Pages (from-to)2009-2014
Number of pages6
JournalJournal of the Japanese Association for Thoracic Surgery
Volume42
Issue number11
Publication statusPublished - 1994 Nov

Fingerprint

Aortic Coarctation
Thoracic Aorta
Pulmonary Artery
Therapeutics
Aortic Bodies
Scimitar Syndrome
Ductus Arteriosus
Constriction
Ligation
Heparin
Urine
Lung
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

The surgical treatment of coarctation of the aorta and interruption of the aortic arch in the first three months of life--effectiveness of temporary bypass between the pulmonary artery and the descending aorta. / Shimizu, Hideyuki; Katogi, T.; Aeba, R.; Odaguchi, H.; Mori, A.; Mitsumaru, A.; Osako, M.; Inoue, Y.; Cho, Y.; Kawada, S.

In: Journal of the Japanese Association for Thoracic Surgery, Vol. 42, No. 11, 11.1994, p. 2009-2014.

Research output: Contribution to journalArticle

@article{6e401ec8ea2d42c1a51a3ccb5c5dd41e,
title = "The surgical treatment of coarctation of the aorta and interruption of the aortic arch in the first three months of life--effectiveness of temporary bypass between the pulmonary artery and the descending aorta",
abstract = "From February 1987 to January 1994, we operated on 24 patients with coarctation of the aorta (CoA) and 9 patients with interruption of the aortic arch (IAA). A policy of staged repair was followed, consisting of reconstruction of the aortic arch with pulmonary artery banding and ligation of the ductus arteriosus in the first stage and intracardiac repair with pulmonary artery band removal in the second stage. In recent cases an extended aortic arch anastomosis was performed using a heparin-coated {"}shunt tube{"} between the pulmonary artery and the descending aorta to maintain blood flow to the lower half of the body during aortic cross-clamping. The use of the shunt increased intraoperative urine output (p < 0.05). This technique may allow patients whose condition is poor to undergo aortoplasty more safely. One patient died. This patient had CoA and total anomalous pulmonary venous return, who underwent a one-stage repair, in violation of our policy (early mortality 3.0{\%}). There were two interim deaths before the second stage repair. At present, 18 patients have undergone staged intracardiac repair, including VSD closure (14 cases), Jatene's procedure (1), Ratelli's procedure (1), Damus-Kaye-Stansel (DKS) procedure (1), total cavo-pulmonary connection (TCPC) + DKS procedure+annuloplasty of a common atrioventricular valve (1). There were two early deaths and one late death following intracardiac repair, all in patients with IAA plus VSD.",
author = "Hideyuki Shimizu and T. Katogi and R. Aeba and H. Odaguchi and A. Mori and A. Mitsumaru and M. Osako and Y. Inoue and Y. Cho and S. Kawada",
year = "1994",
month = "11",
language = "English",
volume = "42",
pages = "2009--2014",
journal = "General Thoracic and Cardiovascular Surgery",
issn = "1863-6705",
publisher = "Springer Japan",
number = "11",

}

TY - JOUR

T1 - The surgical treatment of coarctation of the aorta and interruption of the aortic arch in the first three months of life--effectiveness of temporary bypass between the pulmonary artery and the descending aorta

AU - Shimizu, Hideyuki

AU - Katogi, T.

AU - Aeba, R.

AU - Odaguchi, H.

AU - Mori, A.

AU - Mitsumaru, A.

AU - Osako, M.

AU - Inoue, Y.

AU - Cho, Y.

AU - Kawada, S.

PY - 1994/11

Y1 - 1994/11

N2 - From February 1987 to January 1994, we operated on 24 patients with coarctation of the aorta (CoA) and 9 patients with interruption of the aortic arch (IAA). A policy of staged repair was followed, consisting of reconstruction of the aortic arch with pulmonary artery banding and ligation of the ductus arteriosus in the first stage and intracardiac repair with pulmonary artery band removal in the second stage. In recent cases an extended aortic arch anastomosis was performed using a heparin-coated "shunt tube" between the pulmonary artery and the descending aorta to maintain blood flow to the lower half of the body during aortic cross-clamping. The use of the shunt increased intraoperative urine output (p < 0.05). This technique may allow patients whose condition is poor to undergo aortoplasty more safely. One patient died. This patient had CoA and total anomalous pulmonary venous return, who underwent a one-stage repair, in violation of our policy (early mortality 3.0%). There were two interim deaths before the second stage repair. At present, 18 patients have undergone staged intracardiac repair, including VSD closure (14 cases), Jatene's procedure (1), Ratelli's procedure (1), Damus-Kaye-Stansel (DKS) procedure (1), total cavo-pulmonary connection (TCPC) + DKS procedure+annuloplasty of a common atrioventricular valve (1). There were two early deaths and one late death following intracardiac repair, all in patients with IAA plus VSD.

AB - From February 1987 to January 1994, we operated on 24 patients with coarctation of the aorta (CoA) and 9 patients with interruption of the aortic arch (IAA). A policy of staged repair was followed, consisting of reconstruction of the aortic arch with pulmonary artery banding and ligation of the ductus arteriosus in the first stage and intracardiac repair with pulmonary artery band removal in the second stage. In recent cases an extended aortic arch anastomosis was performed using a heparin-coated "shunt tube" between the pulmonary artery and the descending aorta to maintain blood flow to the lower half of the body during aortic cross-clamping. The use of the shunt increased intraoperative urine output (p < 0.05). This technique may allow patients whose condition is poor to undergo aortoplasty more safely. One patient died. This patient had CoA and total anomalous pulmonary venous return, who underwent a one-stage repair, in violation of our policy (early mortality 3.0%). There were two interim deaths before the second stage repair. At present, 18 patients have undergone staged intracardiac repair, including VSD closure (14 cases), Jatene's procedure (1), Ratelli's procedure (1), Damus-Kaye-Stansel (DKS) procedure (1), total cavo-pulmonary connection (TCPC) + DKS procedure+annuloplasty of a common atrioventricular valve (1). There were two early deaths and one late death following intracardiac repair, all in patients with IAA plus VSD.

UR - http://www.scopus.com/inward/record.url?scp=0028538067&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028538067&partnerID=8YFLogxK

M3 - Article

VL - 42

SP - 2009

EP - 2014

JO - General Thoracic and Cardiovascular Surgery

JF - General Thoracic and Cardiovascular Surgery

SN - 1863-6705

IS - 11

ER -