Direct Left Ventriculofemoral Bypass during Resection of Coarctation of the Aorta with Anomalous Subclavian Arteries

Abstract

The successful use of direct left ventriculofemoral bypass in a patient with coarctation of the aorta with anomalous subclavian arteries is described. It is compared with left atriofemoral bypass and recommended as a safe and satisfactory alternative where that procedure is excluded by reason of anatomical abnormalities or technical hazards. However, where these complications do not apply, left atriofemoral bypass should still remain the method of choice in those patients who require supportive circulation during the period of aortic occlusion.