[HSF] ADULT Coarctation repair

[M. Gordillo]

Thanks a lot Dr. Novick,

 the video I was refering to, can be seen in this link:

http://www.ctsnet.org/sections/clinicalresources/videos/media-69.html


It seems to me that this approach  prevents  bleeding from  collaterals in adults after 40 y/o , entering in the midline,  but  I have not seen many publications in this regard...
Could be helpful in cases where Aortic V replacement  is  indicated,(?)  I would like to know if it is frequently used,  (on the other hand, classically  I  do coarts  by left thoracotomy  and two weeks later the valve by sternotomy...)

Any more opininions???

Manuel Gordillo









ICHFNO at aol.com wrote: John Brown presented his redo coarcs yesterday at the STS, and  only 1 
required CPB, and it was in a young child who also needed transverse arch  repair. 
There were a number of adults in the series as well. The majority were  
repaired (all via L thoracotomy except the one who they did on CPB through a  
sternotomy) using 2 techniques, either patch angioplasty with prosthetic  material or 
simply redo-ing the coarc repair. It would be an extremely unusual  case that 
would require an interposition graft done of CPB. Could you describe  the 
case you are considering using this technique to repair?
 
WNovick



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