Explain subclavian flap aortoplasty, Biology

Assignment Help:

Explain Subclavian Flap Aortoplasty ?

Initial steps are same as for resection and end-to-end anastomosis. After exposing a the entire length of intra thoracic segment of left subclavian artery, it is ligated just proximal to the point of exit from the chest. A clamp is applied on the aortic arch proximal to left subclavian artery. Another clamp is applied on the descending aorta distal to the narrow segment of the descending aorta. Intercostal vessels that need not be divided are looped for temporary control. The transacted subclavian artery is incised vertically. Same incision is continued across the coarcted segment on to the descending aorta well below the narrow segment. The intimal shelf of coarctation is excised. The subclavian flap is turned down and anastornosed starting at the apex of the incision on the descending aorta with double armed 6-0 absorbable sutures. Same suture is continued upwards posteriorly and then anteriorly. Distal clamp is removed first and then proxitnal clamp.

44_Subclavian flap aortoplasty.png

Figure: Subclavian flap aortoplasty

After any coarctation repair, pressures are measured proximally and distally. There should not be a gradient of more that 10 mm of Hg.


Related Discussions:- Explain subclavian flap aortoplasty

What are the benefits of migration, What are the Benefits of migration ...

What are the Benefits of migration Eg: Need to leave Alaska due to harsh weather conditions (statement that birds are escaping NZ winter not acceptable). Longer day

Draw a class diagram, Draw a class diagram: You are required to provid...

Draw a class diagram: You are required to provide a practical implementation in C++ for the following class diagram. You have to provide the solution in the form of classes in

Biology, what is the relationship between an infection and spleen

what is the relationship between an infection and spleen

Explain the histologic techniques, Explain the histologic techniques A...

Explain the histologic techniques A clinician has to base the diagnosis only on the clinical and radiographic findings as microbiologic and histologic techniques are restricte

Explain what is third heart sound s3, Explain what is Third Heart Sound S 3...

Explain what is Third Heart Sound S 3 ? S, is generated during the rapid filling pliase. It is a low frequency event. Mechanism of S, production: It is due to a sudden limita

The seven levels of taxonomy, how are the listed from largest group to smal...

how are the listed from largest group to smallest group

Define energy requirements of infants, Define Energy requirements of infant...

Define Energy requirements of infants? Energy: Energy requirements of infants are based on the energy intake through breast milk by infants of well-nourished mothers. Based on

How did pasteur experiment vary from spallanzani, How did Pasteur's experim...

How did Pasteur's experiment vary from Spallanzani's experiment? Instead of sealing the flask in the experimental group after boiling, Pasteur used a flask with a curved neck,

Emulsion products, E m u l s io n products Ground meat products s...

E m u l s io n products Ground meat products such as sausages, patties and luncheon meats are emulsion based products and their quality depends upon the ability of lean m

Describe other concerns in congenital heart disease, Describe Other Concer...

Describe Other Concerns in Adults with Congenital Heart Disease ? Infective endocarditis prophylaxis: The standard guidelines for infective endocarditis prophylaxis should be

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd