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Eur J Cardiothorac Surg 2002;22:457-459
© 2002 Elsevier Science NL

Case report

One-stage repair of aortic isthmus atresia, aortic arch hypoplasia and ascending aorta aneurysm via midline sternotomy and normothermic perfusion

Department of Cardiovascular Surgery, Hôpital Laënnec, 44093 Nantes, France

Received 25 October 2001; received in revised form 24 April 2002; accepted 7 June 2002.

* Corresponding author. Tel.: +33-2-4016-5090; fax: +33-2-4016-5402
e-mail: olivier.baron{at}chu-nantes.fr

One-stage repair of aortic isthmus atresia, aortic arch hypoplasia and ascending aorta aneurysm was performed via a standard midline sternotomy. Ascending aortoplasty was performed during a 19-min cardiac arrest. With the heart beating and continuous normothermic perfusion of the upper and lower part of the body, the aortic arch was then enlarged using the Amato technique and the harvested ascending aorta wall as autologous patch. A classical Crafoord procedure then restored continuity between the aortic arch and the descending thoracic aorta.

Key Words: Aortic atresia • Ascending aorta aneurysm • Normothermic cardiopulmonary bypass

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