The Neonatal Hypoplastic Aortic Arch: Decisions and More Decisions

Neonatal patients with hypoplasia of the aortic arch constitute a heterogeneous group with a wide spectrum of severity. The milder end of the spectrum comprises patients with aortic coarctation and isthmus hypoplasia. At the other end of the spectrum are patients with severe transverse arch hypoplas...

Full description

Saved in:
Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual 2013, Vol.16 (1), p.43-51
Main Authors: Langley, Stephen M, Sunstrom, Rachel E, Reed, Richard D, Rekito, Andrew J, Gerrah, Rabin
Format: Article
Language:English
Subjects:
Aorta, Thoracic - abnormalities
Aorta, Thoracic - surgery
Aortic Coarctation - diagnostic imaging
Aortic Coarctation - mortality
Aortic Coarctation - surgery
Cardiac Surgical Procedures - methods
Cardiothoracic Surgery
Female
Follow-Up Studies
Heart Defects, Congenital - diagnostic imaging
Heart Defects, Congenital - mortality
Heart Defects, Congenital - surgery
Humans
Imaging, Three-Dimensional
Infant, Newborn
Male
Pediatrics
Postoperative Complications - mortality
Postoperative Complications - physiopathology
Risk Assessment
Sternotomy - methods
Survival Rate
Thoracotomy - methods
Tomography, X-Ray Computed - methods
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Neonatal patients with hypoplasia of the aortic arch constitute a heterogeneous group with a wide spectrum of severity. The milder end of the spectrum comprises patients with aortic coarctation and isthmus hypoplasia. At the other end of the spectrum are patients with severe transverse arch hypoplasia or hypoplastic left heart syndrome. The aim of this paper is to discuss the various strategies and surgical approaches available for this group of patients, focusing on the surgical decisions that influence individual patient management. Many of the things discussed are applicable to any neonatal arch problem. We also describe and discuss in detail our surgical technique for patients who undergo neonatal repair of a hypoplastic aortic arch via median sternotomy.
ISSN:1092-9126
DOI:10.1053/j.pcsu.2013.01.008