Abstract
Figure 1: Volume-rendered three-dimensional image showing a jump graft (white arrow) from the left subclavian artery to the descending thoracic aorta (in contradistinction to resection of coarctation segment and end to end anastomosis wherein number of large thin wall collateral intercostals arteries pose a great challenge in taking down, which could lead to significant haemorrhage) using a 14 mm-diameter polyester woven graft (SITRA-CHITRA graft, Tiruvellore Thattai Krishnamachari product, Chennai, India) over 14 years after surgery for adult coarctation of the aorta. Coarctation then, turning into acquired atresia now (green arrow), in view of wide bypass for alternative blood flow (choosing 12 or 14 mm vascular prosthesis, in our experience, resulted in equalization of blood pressure in all the four limbs).
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