{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T09:54:08Z","timestamp":1719050048262},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2013,2,7]],"date-time":"2013-02-07T00:00:00Z","timestamp":1360195200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951113000115_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate the surgical treatment of complex aortic coarctation using partial cardiopulmonary bypass to increase the spinal cord protection.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951113000115_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A total of 15 patients (age range from 7 to 48 years) underwent coarctation repair through a left posterolateral thoracotomy with cardiopulmonary bypass. Cannulation was performed via the descending aorta and the main pulmonary artery. In all, six surgeries were performed under hypothermic circulatory arrest and nine repairs were performed under mild hypothermia. The clinical outcome regarding the development of restenosis, as well as major neurologic complication, was studied.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951113000115_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>There was no mortality. None of the patients developed paraplegia. Of the 15 patients, two developed a recurrent stenosis at the proximal anastomosis between the aortic arch and the aortic prothesis at a mean follow-up of 5.5 years. In the remaining 13 patients, echocardiography and magnetic resonance imaging showed no evidence of a significant gradient.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951113000115_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Complex aortic coarctation without hypoplasia of the proximal aortic arch and intra-cardiac anomalies can be repaired with low mortality and neurologic morbidity via a left thoracotomy using cardiopulmonary bypass. The use of cardiopulmonary bypass goes along with a low risk of spinal cord and lower body ischaemia and provides a sufficient amount of time for the anastomoses.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951113000115","type":"journal-article","created":{"date-parts":[[2013,2,6]],"date-time":"2013-02-06T15:30:15Z","timestamp":1360164615000},"page":"113-119","source":"Crossref","is-referenced-by-count":7,"title":["Results of using cardiopulmonary bypass for spinal cord protection during surgical repair of complex aortic coarctation"],"prefix":"10.1017","volume":"24","author":[{"given":"Stany","family":"Sandrio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Karck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Gorenflo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsvetomir","family":"Loukanov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,2,7]]},"reference":[{"key":"S1047951113000115_ref3","first-page":"189","article-title":"Coarctation of the aorta in adults: what is the best treatment? Case report and literature review","volume":"4","author":"Jurcut","year":"2011","journal-title":"J Med Life"},{"key":"S1047951113000115_ref1","doi-asserted-by":"crossref","first-page":"2915","DOI":"10.1093\/eurheartj\/ehq249","article-title":"ESC Guidelines for the management of grown-up congenital heart disease (new version 2010)","volume":"31","author":"Baumgartner","year":"2010","journal-title":"Eur Heart J"},{"key":"S1047951113000115_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-011-0198-x"},{"key":"S1047951113000115_ref10","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1213\/ANE.0b013e3181ddddd6","article-title":"Lumbar cerebrospinal fluid drainage for thoracoabdominal aortic surgery: rationale and practical considerations for management","volume":"111","author":"Fedorow","year":"2010","journal-title":"Anesth Analg"},{"key":"S1047951113000115_ref2","unstructured":"Lee B . Beerman. Coarctation of the aorta. The Merck manuals. Retrieved March 2009, from http:\/\/www.merckmanuals.com\/professional\/pediatrics\/congenital_cardiovascular_anomalies\/coarctation_of_the_aorta.html."},{"key":"S1047951113000115_ref16","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S0022-5223(19)40960-4","article-title":"Critical review of experience with surgical repair of coarctation of the aorta","volume":"77","author":"Pennington","year":"1979","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951113000115_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(91)90010-R"},{"key":"S1047951113000115_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.11.014"},{"key":"S1047951113000115_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/thx.43.12.1003"},{"key":"S1047951113000115_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(96)01114-1"},{"key":"S1047951113000115_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-009-1630-0"},{"key":"S1047951113000115_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00987-3"},{"key":"S1047951113000115_ref9","first-page":"I112","article-title":"Mechanisms of spinal cord injury after cross-clamping of the descending thoracic aorta","volume":"66","author":"Berendes","year":"1982","journal-title":"Circulation"},{"key":"S1047951113000115_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.057182"},{"key":"S1047951113000115_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.03.039"},{"key":"S1047951113000115_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2008.11.085"},{"key":"S1047951113000115_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-003-0083-7"},{"key":"S1047951113000115_ref17","first-page":"363","article-title":"A clinically masked normotensive aortic coarctation","volume":"62","author":"Ravindranath","year":"2010","journal-title":"Indian Heart J"},{"key":"S1047951113000115_ref7","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/S0022-5223(94)70456-2","article-title":"Surgical treatment of aortic coarctation in infants younger than three months: 1985 to 1990","volume":"107","author":"van Heurn","year":"1994","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951113000115_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.04.060"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951113000115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T23:51:19Z","timestamp":1595375479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951113000115\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,7]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,2]]}},"alternative-id":["S1047951113000115"],"URL":"https:\/\/doi.org\/10.1017\/s1047951113000115","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,7]]}}}