J.Jpn. Surg. Soc.. 79(3): 173-176, 1978

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Original article

A LONG BYPASS BETWEEN THE ASCENDING AORTA AND THE DISTAL ABDOMINAL AORTA AS NEW SURGICAL TREATMENT FOR ATYPICAL COARCTATION OF THE AOTA

A long bypass between the ascending aorta and the distal abdominal aorta as surgical treatment of atypical coarctation of the aorta due to Takayasu arteritis is presented. The graft is proximally anastomosed with the ascending aorta in end-to-side fashion and passes down through the retroperitoneum via a small incised opening of the diaphragm and is anastomosed with the distal abdominal aota in end-to-side fashion. This technique was successfully applied to a 25-year-old woman of atypical coarctation from the distal aortic arch to the upper abdominal aorta complicated with left heart failure.
There are several advantages in this technique. (1) Both thoracotomy and positional change during surgery can be avoided. (2) Anastomosis can be performed at not-diseased vessels. (3) This long bypass graft can branch off to visceral arteries if necessary.

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