METHOD FOR CORRECTION OF AORTIC COARCTATION COMBINED WITH HYPOPLASTIC AORTIC ARCH Russian patent published in 2015 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: approach, a median sternal incision is performed. An aorta - vena cava or aorta - right atrium bypass is connected. The patient's body is cooled down to moderate hypothermia. A descending aorta is separated to the level of left primary bronchus. An aortic cannula is advanced into a lumen of brachiocephalic trunk. After cardioplegia is performed, the brachiocephalic trunk is pressed with a tourniquet with reducing a perfusion volume velocity to 25-30%; the aortic arch branches and descending aorta are clamped at the level of the left primary bronchus. After the aortic coarctation is resected, a lower border of the aortic arch is dissected to a distal one-third of ascending aorta; a left border of the descending aorta is dissected to a respective diameter of the dissected aortic arch. An anastomosis is formed between the aortic arch and descending aorta with continuous suture. The aorta and its arches are de-clamped. The tourniquet is released on the brachiocephalic trunk. The aortic cannula is advanced into the lumen of the aorta. The perfusion volume velocity is increased to 100%, and the patient's body heating is initiated.

EFFECT: method enables creating the wide anastomosis between the arch and descending aorta, reducing the anastomosis tension and assessing the relative position of the descending aorta, left primary bronchus and trachea visually for the purpose of preventing airway compression.

2 ex, 3 dwg