Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Staged reconstruction for middle aortic syndrome
Autore:
Lillehei, CW; Shamberger, RC;
Indirizzi:
Childrens Hosp, Boston, MA 02115 USA Childrens Hosp Boston MA USA 02115Childrens Hosp, Boston, MA 02115 USA Harvard Univ, Sch Med, Boston, MA USA Harvard Univ Boston MA USAHarvard Univ, Sch Med, Boston, MA USA
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 8, volume: 36, anno: 2001,
pagine: 1252 - 1254
SICI:
0022-3468(200108)36:8<1252:SRFMAS>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; RENAL-ARTERY STENOSIS; RENOVASCULAR HYPERTENSION; OPERATIVE TREATMENT; MIDAORTIC SYNDROME; CHILDREN; COARCTATION; CHILDHOOD;
Keywords:
middle aortic syndrome; abdominal aortic; coarctation; renovascular hypertension;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Lillehei, CW Childrens Hosp, 300 Longwood Ave, Boston, MA 02115 USA Childrens Hosp 300 Longwood Ave Boston MA USA 02115 02115 USA
Citazione:
C.W. Lillehei e R.C. Shamberger, "Staged reconstruction for middle aortic syndrome", J PED SURG, 36(8), 2001, pp. 1252-1254

Abstract

Background/Purpose: Middle aortic syndrome is a rare condition that involves narrowing of the abdominal aorta and its visceral branches. The authors propose staged vascular repair to minimize renal ischemia and facilitate use of native arterial tissue for reconstruction. Methods: Three adolescents (age 8 1/2, 12 1/2, 13 1/2) presented with severe hypertension. Subsequent evaluation showed coarctation of the abdominal aorta extending above the celiac axis. All 3 patients had bilateral renal artery stenoses. There also were tight stenoses of the celiac or superior mesenteric arteries. In the first stage the right renal artery stenosis was relieved. In the youngest patient, this was accomplished by balloon angioplasty. However, in the other 2, right renal autotransplantation was performedto the right iliac vessels using end-to-side anastomoses of the renal artery and vein. Cold perfusion was used. The second stage was performed 2 to 5months later via a thoracoabdominal approach in 2 patients. A Dacron tube graft was utilized from above the coarctation to the iliac bifurcation. Theleft renal arteries were detached and anastomosed end to side to the bypass graft. In 1 child there were actually 3 separate renal arteries that required reimplantation. In the youngest patient the aortic narrowing was relieved by along Dacron patch aortoplasty and interposition of an internal iliac artery graft to the left renal artery. Results: All 3 patients recovered well and returned to full activities. There was no measurable rise of BUN or serum creatinine postoperatively. Postoperative renal scans showed good renal perfusion bilaterally. Follow-up results 2 to 10 years later continue to show well functioning reconstructions. Conclusion: A staged approach is an effective reconstruction for children with middle aortic syndrome which minimizes risk to renal function. J Pediatr Surg 36:1252-1254. Copyright (C) 2001 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 14:15:55