PMID- 9291656
OWN - NLM
STAT- MEDLINE
DCOM- 19970926
LR  - 20041117
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 49
IP  - 3
DP  - 1997 May-Jun
TI  - Aortoaortic bypass: indications, techniques and results.
PG  - 303-8
AB  - The standard surgical treatment of complex cases of aortic obstructions is 
      difficult and sometimes even hazardous, thus necessitating the use of alternative 
      surgical methods to manage these cases. Between 1986 and 1995, nine such patients 
      underwent ascending aorta to descending/abdominal aorta bypass graft as an 
      alternative procedure at a premier medical institution. There was no hospital 
      death nor any significant morbidity. Preoperative systolic blood pressure in 
      right upper limb ranged from 150 mm Hg to 230 mm Hg (mean 180.5 mm Hg) while 
      postoperative systolic blood pressure in right upper limb ranged from 126 mm Hg 
      to 150 mm Hg (mean 134 mm Hg), thereby showing marked improvement. Preoperative 
      pressure gradient across the aortic obstruction ranged from 50 mm Hg to 120 mm Hg 
      (mean 87.2 mm Hg). It was relieved in all except two patients who had resting 
      gradients of 10 mm Hg and 12 mm Hg respectively. All the patients were relieved 
      of their symptoms. After a mean follow-up of 33.3 months (range 6 to 108 months), 
      all the patients are in New York Heart Association (NYHA) class I with evidence 
      of good distal perfusion. This technique of bypassing the aortic obstruction has 
      the added advantage of avoiding the complications associated with standard 
      technique.
FAU - Airan, B
AU  - Airan B
AD  - Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical 
      Sciences, New Delhi.
FAU - Mehrotra, R
AU  - Mehrotra R
FAU - Talwar, K K
AU  - Talwar KK
FAU - Taneja, K
AU  - Taneja K
FAU - Venugopal, P
AU  - Venugopal P
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
RN  - 0 (Polyethylene Terephthalates)
SB  - IM
MH  - Adult
MH  - Aorta, Abdominal/surgery
MH  - Aorta, Thoracic/surgery
MH  - Aortic Coarctation/*surgery
MH  - Aortic Diseases/*surgery
MH  - *Blood Vessel Prosthesis
MH  - Female
MH  - Humans
MH  - Male
MH  - Polyethylene Terephthalates
MH  - Postoperative Complications/epidemiology
EDAT- 1997/05/01 00:00
MHDA- 1997/09/18 00:01
CRDT- 1997/05/01 00:00
PHST- 1997/05/01 00:00 [pubmed]
PHST- 1997/09/18 00:01 [medline]
PHST- 1997/05/01 00:00 [entrez]
PST - ppublish
SO  - Indian Heart J. 1997 May-Jun;49(3):303-8.