Murat ÖZEREN, Barlas AYTAÇOĞLU, Kerem KARACA, Özden VEZİR, Nehir SUCU

The single-stage extra-anatomic repair of an isolated interrupted aortic arch in an adult and a review of the literature

Kesintiye uğramış arkus aort, çıkan ve inen aort arasında lümenin tamamen kaybı ve anatomik sürekliliğin olmaması ile karakterize, nadir ve ciddi bir doğuştan kalp defektidir. Bu malformasyonun prognozu, cerrahi olarak tedavi edilmez ise kötüdür. Bu yazıda tip A kesintiye uğramış arkus aortu olan ve cerrahi ile başarılı bir şekilde tedavi edilen 56 yaşında erkek hasta, konu ile ilgili literatür gözden geçirilerek sunuldu.

Yetişkin bir hastada izole kesintiye uğramış arkus aortun tek aşamalı ekstra anatomik baypas ile onarımı ve literatür incelemesi

Interrupted aortic arch is a rare and severe congenital heart defect characterized by a complete loss of luminal and anatomic continuity between the ascending and the descending aorta. This malformation has a poor prognosis without surgical treatment. In this article, we present a 56-year-old male patient with interrupted aortic arch type A who was treated successfully with surgery, and review the literature regarding this topic.

PDF

___

1. Messner G, Reul GJ, Flamm SD, Gregoric ID, Opfermann UT. Interrupted aortic arch in an adult single-stage extraanatomic repair. Tex Heart Inst J 2002;29:118-21.
2. Steidele RJ. Samml Chir u Med Beob (Vienna) 1778;2:114.
3. Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J 1959;58:407-13.
4. Collins-Nakai RL, Dick M, Parisi-Buckley L, Fyler DC, Castaneda AR. Interrupted aortic arch in infancy. J Pediatr 1976;88:959-62.
5. Prasad SV, Gupta SK, Reddy KN, Murthy JS, Gupta SR, Somnath HS. Isolated interrupted aortic arch in adult. Indian Heart J 1988;40:108-12.
6. Akdemir R, Ozhan H, Erbilen E, Yazici M, Gündüz H, Uyan C. Isolated interrupted aortic arch: a case report and review of the literature. Int J Cardiovasc Imaging 2004;20:389-92.
7. Yildirim N, Aydin M, Hekimoglu K, Gungorduk A. Isolated interrupted aortic arch, a rare cause of hypertension in adults. Int J Cardiol 2008;127:e52-3.
8. Gran F, Barber I, Betrián P. Interrupted aortic arch. Rev Esp Cardiol 2008;61:629. [Abstract]
9. Pigula FA. Surgery for aortic arch disease in the neonate. Pediatr Cardiol 2007;28:134-43.
10. Sai Krishna C, Bhan A, Sharma S, Kiran U, Venugopal P. Interruption of aortic arch in adults: surgical experience with extra-anatomic bypass. Tex Heart Inst J 2005;32:147-50.
11. Morgan JR, Forker AD, Fosburg RG, Neugebauer MK, Rogers AK, Bemiller CR. Interruption of the aortic arch without a patent ductus arteriosus. Circulation 1970;42:961-965.
12. Kauff MK, Bloch J, Baltaxe HA. Complete interruption of the aortic arch in adults. Radiology 1973;106:53-7.
13. LePage JR, Viamonte M, Jr, Jude JR. Complete interruption of the arch of the aorta: an enigma? J Can Assoc Radiol 1971;22:60-4.
14. Milo S, Massini C, Goor DA. Isolated atresia of the aortic arch in a 65-year-old man. Surgical treatment and review of published reports. Br Heart J 1982;47:294-7.
15. Todorić M, Martinović N, Jablanov J, Albreht M, Aleksandrov R, Prcović M. Interrupted aortic arch-case report of a patient successfully operated on inadulthood. Acta Chir Iugosl 1985;32:201-6.
16. Canova CR, Carrel T, Dubach P, Turina M, Reinhart WH. Interrupted aortic arch: fortuitous diagnosis in a 72-year-old female patient with severe aortic insufficiency. Schweiz Med Wochenschr 1995;125:26-30.
17. Burton BJ, Kallis P, Bishop C, Swanton H, Pattison CW. Aortic root replacement and extraanatomic bypass for interrupted aortic arch in an adult. Ann Thorac Surg 1995;60:1400-2.
18. Ogino H, Miki S, Matsubayashi K, Ueda Y, Nomoto T. Twostage repair for aortic regurgitation with interrupted aortic arch. Ann Thorac Surg 1998;65:1151-3.
19. Messner G, Reul GJ, Flamm SD, Gregoric ID, Opfermann UT. Interrupted aortic arch in an adult single-stage extraanatomic repair. Tex Heart Inst J 2002;29:118-21.
20. Riess FC, Danne M, Stripling JH, Bergmann H, Bleese N. Surgical treatment of interrupted aortic arch with extraanatomical bypass simultaneous to coronary artery bypass grafting and aortic valve replacement. Heart Surg Forum 2004;7:E394-7.
21. Celkan MA, Daglar B, Kazaz H, Koruk S. Posterior pericardial ascending-to-descending aortic bypass for interrupted aortic arch in an adult. Thorac Cardiovasc Surg 2008;56:114-6.
22. Casati V, Barbato L, Spagnolo P, Kalandadze P, Arone V, Grasso MA, et al. Unexpected diagnosis and management of a type a interrupted aortic arch in an adult male scheduled for mitral valve surgery. J Cardiothorac Vasc Anesth 2008;22:263-6.