Posted on Authorea 5 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. ogin Jin Yongqiang aneurysm aortic and for coarctation procedure complex Bentall a with combined bypass aortic Extra-anatomic nucec,ntalwn o av-prn otrpaeet 3mmcaia av ihari tube aortic with valve mechanical 23mm A significant with portal and underdeveloped replacement. valve distal echocardiography root aortic tricuspid valve-sparing transesophageal the the for Intraoperative via of allowing leaflet instituted one cannulation. not that was caval insufficiency, revealed (CPB) both root aortic bypass and of Cardiopulmonary aorta inspection ster- ascending median operation. the with single-stage of performed was a procedure in Bentall notomy and bypass aortic ascending-descending Extra-anatomic the performing before family procedure. 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All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. .W ,Ce ,L ,Wn ,XeH sedn-odsedn otcbps i otro pericardium posterior via bypass aortic 2009;24(2):167-169. Ascending-to-descending Surg H. treatment. Card Xue J surgical L, after aorta. Wang of outcome H, coarctation Li and complex X, history for Chen natural Q, Wu aorta: 2. the of Coarctation 92:365-371. C. 1999; Ward QJM NP, Jenkins 1. References Statement Availability Data of Interest replacement of involves which Conflict it procedure Bentall operation, strategy. so At optimal [4]. repaired, insufficiency. the years Funding be valve was 10 not aortic aorta at could and ascending patients valve and aneurysm Aortic of medial valve aortic root 2% aortic aortic procedure. the approximately aortic ascending switch that in the with the found occur to after was procedure associated contributed complication Switch reasons is well-known after two disorder surgery a These valve this is aortic and dilation and to aortic documented, root posterior addition, well compress was In is aorta minimally COA degeneration. ascending to thoracic in the order left dilation the that In in because Aortic graft heart. mainly artificial procedure. the was the Switch of placed difference that after we side The is left growth, left the surgeries future adult’s, length. the previous of sufficient an on consideration from to with the placed different cavity approximate for was is was and patient What ventricle, root size of this left and body adulthood. risks the of the during limited valve the graft flow be old, aortic artificial that would adequate 10-year the concomitant so ischemia provide only avoided cord can for was spinal be graft patient allows and 20mm the can nerve sternotomy although dissection laryngeal Furthermore, median recurrent extensive phrenic, a [3]. Secondly, of through injury operation. done hemorrhage, procedure single-stage safest massive be and a best can the in ascending- be patient, it may procedures this colleagues Firstly, for and However, Edie by thoracotomy. reported left [2]. first is was coarctation which the bypass of that aortic developed. repair until descending has for operation incision insufficiency previous common valve most the single- aortic The before a significant in undiagnosed and correction Taussig-Bing been aneurysm surgical had with root in coarctation Patients managed aortic case, be giant this anomalies. but should In intra-cardiac and isolated, disease, coarctation concomitant usually operation. artery with stage is major accompany coronary [1].COA to other failure, prone hemorrhage 90% with heart are cerebral that deformity to complicated or literature due be the endocarditis, usually may in infective years, it reported rupture, 50 or been within has dissection die It aortic coarctation malformation. untreated cardiovascular of congenital patients common a is medication. COA without operation after pressure blood Discussion ( along upper-extremity patency ran mean was in graft and bypass reduction heart significant aortic the a of chest extra-anatomic Postoperative border the left that function. the systolic demonstrated with ventricular tomography left minutes. computed preserved 329 and echocardiogra- and radiograph was valve transesophageal gradient. Post-operative prosthetic pressure time functional complications. arm-leg CPB revealed major residual phy any and no weaned without minutes demonstrated discharged was was pressures patient 184 patient line The The was positioned arterial poste- graft. time was femoral a aortic and cross-clamp graft neo-ascending via radial descending aortic the of aorta was Total to the Monitoring thoracic anastomosed procedure procedure, uneventfully. and the descending aorta. Bentall CPB heart of the the ascending of from portion to of border the left completion root anastomosed of the After the was portion around Before graft proximal approach. Dacron and pericardial graft. woven rior root, neo-aortic 20-mm aortic the a valve, into aortic performed, re-implanted were the ostia replace Coronary to employed was graft None. : h uhr elr htteeaen oflc finterests. of conflict no are there that declare authors The : l aaue uigtesuyapa ntesbitdarticle. submitted the in appear study the during used data All : iue3&4 Figure 2 .Drn 2mnh fflo-p hr was there follow-up, of 52-months During ). Posted on Authorea 5 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. .Fik A ’dkmY ihrsnM hy ,Doaal ,Rma M hao ,GigLE, Grigg G, 94:139-145. Wheaton 2012; JM, arteries: Surg Ramsay great Thorac the M, of Ann Dronavalli transposition for experience. C, operation of switch Thuys years arterial the M, 25 of coarctations Richardson Outcomes complex IE. Y, Konstantinov or CP, d’Udekem recurrent Brizard for TA, Fricke grafts 20:558-566. Bypass 1975; G. 4. Surg Robinson Thorac JR, Ann Malm LA, aorta. Attai the J, of Janani RN, Edie 3. 3 Posted on Authorea 5 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 4 Posted on Authorea 5 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 5 Posted on Authorea 5 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161255047.74507136/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 6