Off-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll for the treatment of critically ill infants with interrupted aortic arch

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dc.authorid0000-0001-9338-8152
dc.authorid0000-0001-5485-5440
dc.authorid0000-0001-9919-8392
dc.authorid0000-0003-0434-2545
dc.authorid0000-0002-3105-5472
dc.authorid0000-0001-6643-9364
dc.authorid0000-0003-4856-0974
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorMeriç, Mert
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorÇoban, Şenay
dc.contributor.authorSarı, Gizem
dc.contributor.authorYıldız, Yahya
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorÜnal, Orçun
dc.contributor.authorRodoplu, Orhan
dc.contributor.authorSungur, Zerrin
dc.contributor.authorYozgat, Yılmaz
dc.contributor.authorSarıtaş, Türkay
dc.contributor.authorErdem, Abdullah
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorTireli, Emin
dc.contributor.authorTürkoğlu, Halil
dc.date.accessioned2020-09-11T09:08:33Z
dc.date.available2020-09-11T09:08:33Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractAim: Standard surgical treatment of the interrupted aortic arch with the use of cardiopulmonary bypass is risky especially in critically ill babies. In this manuscript, we present the results of off-pump pericardial roll bypass for the treatment of aortic interruption. Material and methods: The technique was applied in nine critically ill infants between July 2011 and December 2019. Data were reviewed retrospectively. There were four girls and five boys. The types of the interruption were type B in six cases and type A in three babies. Additional cardiovascular anomalies were ventricular septal defect in all, atrial septal defect or patent foramen ovale in all, single-ventricle pathologies in two and bicuspid aortic valve in three cases. All the patients were in critical situations such as intubated, having symptoms of infection, congestive heart failure or ischaemia and malperfusion leading visceral organ dysfunction. Results: All patients underwent off-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll. Post-operative early mortality occurred in one patient with severe mitral regurgitation due to cardio-septic shock. One patient who had single-ventricle pathology underwent bidirectional Glenn and was lost on the post-operative 26th day due to sepsis 2 years after operation. Two patients presented with dilatation of the pericardial tube 18 and 24 months after the operations and one underwent reconstruction of the neo-arch. The remaining patients are asymptomatic, active and within normal limits of body and mental growth. Conclusion: Treatment of interrupted aortic arch with a bypass with an autologous pericardial roll treated with gluteraldehyde without cardiopulmonary bypass seems a safe and reliable technique especially for the treatment of critically ill infants.
dc.identifier.citationÖztaş, D. M., Meriç, M., Beyaz, M. O., Çoban, Ş., Sarı, G., Yıldız, Y. ... Türkoğlu, H. (2020). Off-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll for the treatment of critically ill infants with interrupted aortic arch. Cardiology in the Young, 30(8), 1095-1102. https://dx.doi.org/10.1017/S1047951120001687
dc.identifier.doi10.1017/S1047951120001687
dc.identifier.endpage1102
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue8
dc.identifier.scopusqualityQ3
dc.identifier.startpage1095
dc.identifier.urihttps://dx.doi.org/10.1017/S1047951120001687
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5784
dc.identifier.volume30
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofCardiology in the Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectInterrupted Aortic Arch
dc.subjectSurgical Therapy
dc.subjectPericardial Roll
dc.subjectBypass
dc.titleOff-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll for the treatment of critically ill infants with interrupted aortic arch
dc.typeArticle

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