关键词: 黑朦, 体外循环, 咳嗽, 非解剖矫治

Abstract: ［Abstract］ Objective To explore the practical application of ascending?to?descending aortic bypass for complex aortic coarctation. Methods Five patients with complex aortic coarctation underwent ascending?to?descending aortic bypass via median sternotomy. Among them, the bypass graft was positioned on the right side along the right atrial free wall in one patient and along the left side anterior to the pulmonary artery in three patients. Results None of the 5 patients died. The pressure gradient between upper and lower extremity was lower than 20 mmHg in all patients postoperatively. Postoperative complications included cough and visual field defect. Conclusion Satisfied result can be achieved in complex aortic coarctation treated with ascending?to?descending aortic bypass through median sternotomy. However, further study about surgical details should be performed.

Key words: visual field defect, non?anatomical correction, cough, cardiopulmonary bypass