ISMICS 17 Annual Scientific Meeting, 7-10 June 2017, Rome Cavalieri, Rome, Italy
ISMICS 17 Annual Scientific Meeting, 7-10 June 2017, Rome Cavalieri, Rome, Italy
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Interrupted Aortic Arch
Noedir Stolf, Mr.1, Lucas Barbieri, Mr2, Thais Couto, Miss3, Victor Haddad, Mr.4, Gilmar Santos, Mr.4.
1Heart institute univ sao paulo, sao paulo, Brazil, 2Heart institute univ Sao Paulo, sao paulo, Brazil, 3BENEFICENCIA PORTUGUESA HOSPITAL, são paulo, Brazil, 4BENEFICENCIA PORTUGUESA HOSPITAL, sao paulo, Brazil.

OBJECTIVE: Interruption of the aortic arch (IAA) is a rare congenital malformation. It is classified in three types, type B is the most common and type C is the rarest. In our case report,we intend to show our experience of treatment in a 22 years old female with this patology.
METHODS: Case report: A 22 years old female, with the diagnoses of type A IAA with multiple aneurysms of the collateral circulation, in which we performed an extra anatomic aortic bypass with ligature of the left subclavian artery and descending thoracic aorta proximal to the distal anastomosis.
RESULTS: The extra anatomic bypass procedure has been proving to be a safe technique to correct aortic disease when the surgeon prefers to avoid complex dissection and risky collateral circulation. Our patient presented no major complication in hospital stay and after one-year follows up.
CONCLUSIONS: In conclusion, extra-anatomic aortic bypass is an attractive and efficient surgical strategy for IAA with complex collateral arteries. This approach allows minimizing the perioperative risks, and to avoid thoracotomy and challenging surgical dissection in high bleeding risk area.


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