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• W4254247299 abstract "We thank Dr Krishnan and colleagues for their letter, which proves that resourceful surgeons can be found worldwide. They report the use of a heart-lifting device to perform an ascending–descending aortic bypass in a 15-year-old girl with previous aortic arch surgery. Because of previous thoracotomy, as in our reported case,1Aris A. Cobiella J. Maestre M.L. Subirana M.T. Ascending-descending aortic bypass with the aid of a heart-lifting device.J Thorac Cardiovasc Surg. 2006; 132: 433-434Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar they elected this type of bypass, which has been increasingly used for reoperations in the aortic arch and isthmus in view of its excellent long-term results.2Oliveira S.A. Lisboa L.A.F. Dallan L.A.O. Abreu F. Rochitte C.E. Souza J.M. Extraanatomic aortic bypass for repair of aortic arch coarctation via sternotomy Midterm clinical and magnetic resonance imaging results.Ann Thorac Surg. 2003; 76 (CAC): 1962-1966Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar The figure in the letter is almost identical to the one appearing in our article, except for the fact that they routed the graft around the right margin of the heart. Direction of the graft should conform to the individual anatomy encountered in each case. Again, the excellent exposure achieved with the use of a lifting device to retract the heart is shown and demonstrates that there is no need to have an assistant’s hand cramming the operative field. This report enhances the feasibility of the procedure and might help to popularize it. We encourage surgeons to try it and foresee that it will be performed without the use of cardiopulmonary bypass in selected cases. Ascending–descending aortic bypass with the aid of a heart-lifting deviceThe Journal of Thoracic and Cardiovascular SurgeryVol. 133Issue 1PreviewWe read with interest the article “Ascending–descending aortic bypass with the aid of a heart-lifting device” by Aris and associates.1 We had an opportunity to use the technique in the management of a 15-year-old girl. She had arch reconstruction with pulmonary artery banding through a thoractomy at the age of 8 months for type B interruption with ventricular septal defect. Six months after the procedure, she had undergone pulmonary artery debanding with ventricular septal defect closure. She had narrowing across the arch repair site, with a gradient of 80 mm Hg across the stenosed segment and significant left ventricular hypertrophy. Full-Text PDF" @default.
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• W4254247299 date "2007-01-01" @default.
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• W4254247299 doi "https://doi.org/10.1016/j.jtcvs.2006.09.016" @default.
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