Abstract
Aortic coarctation accounts for 5–8% of all congenital heart defects (CHD) and occurs in 4 out of 1000 liveborns, more often among boys. Aortic coarctation may occur as an isolated malformation, but more often associated with other CHD, such as bicuspid aortic valve (50–75%), aortic arch hypoplasia, subaortic stenosis, mitral valve anomalies, ventricular and atrial septal defects, patent ductus arteriosus.
Surgical treatment of aortic coarctation is well studied and includes restoring the narrowed sections of aortic wall by different ways. We present a case report of aortic arch continuity restoring in the presence of hypoplastic distal aortic arch and severe aortic coarctation, which was made using multi-component method. It involved subclavian flap repair of hypoplastic aortic arch, followed by subclavian artery reimplantation into the left common carotid artery and aortic coarctation resection with extended end-to-end anastomosis.
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About the authors
- Sergey A. Kotov, Cand. Med. Sci., Senior Researcher, Cardiovascular Surgeon; ORCID
- Aleksandrа S. Krylova, Cardiovascular Surgeon; ORCID
- Yuliya V. Butrim, Junior Researcher, Pediatric Cardiologist; ORCID
