Open-Hybrid Aortic Stent Placement for Recurrent Coarctation in Complex Single Ventricles

Authors

Andrew K Morse
Blaz Podgorsek
Julija Dobrila
Zachary A Cerra
Kiran K Mallula
Muhammad S Khan
Christopher E Greenleaf
Jorge D Salazar
Damien J LaPar
Peter C Chen

Publication Date

3-1-2025

Journal

Annals of Thoracic Surgery Short Reports

Abstract

Recurrent coarctation of the aorta in patients with hypoplastic left heart syndrome requires timely intervention to limit ventricular dysfunction and atrioventricular valve regurgitation. Current strategies include catheter-based intervention in adequately sized patients or surgical arch augmentation at the time of a concomitant operation. We report an open-hybrid surgical technique with placement of a balloon-expandable stent that can later be expanded to an adult size as the patient grows. Limiting the arch dissection reduces the risk to the left recurrent laryngeal nerve and shortens anterograde cerebral perfusion time.

DOI

10.1016/j.atssr.2024.09.021

PMID

40098846

PMCID

PMC11910780

PubMedCentral® Posted Date

10-16-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes