- Case report
- Open Access
- Open Peer Review
Use of apical suction to facilitate extra-anatomic bypass for recurrent coarctation: a case report
© Kuduvalli et al; licensee BioMed Central Ltd. 2006
- Received: 26 January 2006
- Accepted: 28 March 2006
- Published: 28 March 2006
The use of apical suction devices has been well described for maintaining satisfactory haemodynamics during off-pump surgical coronary revascularization. Its expanded use has been described in a few other situations. We describe here a case of recurrent coarctation where an extra-anatomic ascending to descending thoracic aorta bypass graft was constructed using cardiopulmonary bypass without arresting the heart, and access and exposure were facilitated by the use of an apical suction device.
- Continuous Positive Airway Pressure
- Cardiopulmonary Bypass
- Thoracic Aorta
- Tube Graft
- Apical Suction
In view of his symptomatic status, a re-intervention was considered appropriate. In view of his previous surgery, and especially the fact that the area of re-coarctation appeared to be calcified, it was decided to approach the aorta via a median sternotomy and construct an extra-anatomic ascending to descending thoracic aorta bypass graft. Cardiopulmonary bypass would be necessary to lift the heart out of the way to gain access to the descending thoracic aorta just above the diaphragm. We planned to use an apical suction device to keep the empty beating heart elevated.
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