XML Template (2014) [20.6.2014–3:38pm] //blrnas3/cenpro/ApplicationFiles/Journals/SAGE/3B2/AANJ/Vol00000/140146/APPFile/SG-AANJ140146.3d
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Complex coarctation of aorta Sanath Kumar, Arani Raghuram and Subbaiyan Kumar
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314542110 aan.sagepub.com
Figure 1. Aortogram showing a coarctation distal to the left subclavian artery, with a dilated ascending aorta.
Figure 2. Post-procedure aortogram showing patent grafts with no contrast leak.
A 17-year-old boy with symptoms of dyspnea in New York Heart Association class III was admitted with a diagnosis of coarctation of the aorta distal to the left subclavian artery. An aortogram showed a dilated ascending aorta (6.5 cm) and a well-developed collateral supply to the descending aorta through the internal mammary arteries (Figure 1). The patient underwent ascending aortic replacement with a 24-mm Dacron graft and an ascending aorta-to-descending aorta interposition graft, via a sternotomy. An 18-mm graft was sutured to the descending aorta and the proximal end of this graft was anastomosed to the ascending
aortic graft. The postoperative aortogram showed a patent graft with no contrast leak (Figure 2). The patient was discharged in a stable condition on the 8th postoperative day. Funding This research received no specific grant from any funding agency in the public, commerical, or not-for-profit sectors.
Conflict of interest statement None declared.
Meenakshi Mission Hospital and Research Center, Madurai, India Corresponding author: Sanath Kumar, Department of Cardiothoracic Surgery, Meenakshi Mission Hospital and Research Center, Lake Area, Melur Road, Madurai 625 107, India. Email: [email protected]
Downloaded from aan.sagepub.com at WASHINGTON UNIV SCHL OF MED on November 17, 2015
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Complex coarctation of aorta Sanath Kumar, Arani Raghuram and Subbaiyan Kumar
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314542110 aan.sagepub.com
Figure 1. Aortogram showing a coarctation distal to the left subclavian artery, with a dilated ascending aorta.
Figure 2. Post-procedure aortogram showing patent grafts with no contrast leak.
A 17-year-old boy with symptoms of dyspnea in New York Heart Association class III was admitted with a diagnosis of coarctation of the aorta distal to the left subclavian artery. An aortogram showed a dilated ascending aorta (6.5 cm) and a well-developed collateral supply to the descending aorta through the internal mammary arteries (Figure 1). The patient underwent ascending aortic replacement with a 24-mm Dacron graft and an ascending aorta-to-descending aorta interposition graft, via a sternotomy. An 18-mm graft was sutured to the descending aorta and the proximal end of this graft was anastomosed to the ascending
aortic graft. The postoperative aortogram showed a patent graft with no contrast leak (Figure 2). The patient was discharged in a stable condition on the 8th postoperative day. Funding This research received no specific grant from any funding agency in the public, commerical, or not-for-profit sectors.
Conflict of interest statement None declared.
Meenakshi Mission Hospital and Research Center, Madurai, India Corresponding author: Sanath Kumar, Department of Cardiothoracic Surgery, Meenakshi Mission Hospital and Research Center, Lake Area, Melur Road, Madurai 625 107, India. Email: [email protected]
Downloaded from aan.sagepub.com at WASHINGTON UNIV SCHL OF MED on November 17, 2015
