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      On-Pump Beating Heart Extraanatomical Ascending-Descending Aortic Bypass Using a Beating Heart Positioner in an Adult with Aortic Coarctation.

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          Abstract

          The prognosis of uncorrected aortic coarctation is poor due to development of heart failure. We performed an on-pump beating heart extraanatomical ascending-descending aortic bypass using a beating heart positioner in an adult with coarctation complicated by severe left ventricular hypertrophy. A 51-year-old woman was referred with severe hypertension. Computed tomography demonstrated severe distal aortic arch narrowing. Coarctation of the aorta was diagnosed. A posterior pericardial beating heart extraanatomical bypass via median sternotomy was performed from the ascending to descending aorta using a heart positioner. Her postoperative course was uneventful and blood pressure was normal on a low-dose beta-blocker.

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          Author and article information

          Journal
          Ann Vasc Dis
          Annals of vascular diseases
          The Editorial Committee of Annals of Vascular Diseases
          1881-641X
          1881-641X
          2016
          : 9
          : 1
          Affiliations
          [1 ] Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Nagano, Nagano, Japan.
          [2 ] Department of Thoracic and Cardiovascular Surgery, University of Toyama, Toyama, Toyama, Japan.
          [3 ] Department of Cardiovascular Surgery, Bando Hospital, Shimo-niikawa-gun, Toyama, Japan.
          Article
          avd.cr.15-00104
          10.3400/avd.cr.15-00104
          4807216
          27087874
          65d57e08-0909-4879-8ae0-0b8e6eb819f1
          History

          on-pump beating heart surgery,aortic coarctation,extraanatomical ascending-descending aortic bypass

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