A 3-stage hybrid strategy for heart transplantation following ascending-to-descending aortic bypass grafting.

Salem T Argaw, Ali Akamkam, Sébastien Hascoet, Stéphan Haulon, Julien Guihaire

Abstract readCase Reports

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Article in JHLT open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Salem T ArgawAdult Cardiac Surgery and Transplantation, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.

Ali AkamkamAdult Cardiac Surgery and Transplantation, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.

Sébastien HascoetDepartment of Congenital Heart Diseases, M3C Referral Center for Complex Congenical Heart Diseases, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.

Stéphan HaulonDepartment of Congenital Heart Diseases, M3C Referral Center for Complex Congenical Heart Diseases, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.

Julien GuihaireAdult Cardiac Surgery and Transplantation, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac reoperation after an extra-anatomic aortic bypass graft entails considerable risk due to the proximity of the graft to the sternum. In the case discussed here, a woman with 2 prior sternotomies and a retrosternal aortic bypass graft for a history of aortic coarctation presented with advanced dilated cardiomyopathy requiring heart transplantation. The patient was managed through a novel 3-stage hybrid strategy. In the first stage, a catheter-based approach was used to stent the coarcted aorta. Subsequently, the extra-anatomic graft was endovascularly excluded and, finally, the patient underwent reoperation for heart transplantation. The use of interdisciplinary collaboration for coordinated staging and shared decision-making, as in this case, allows for innovative solutions and improved outcomes in complex surgical needs.

Indexed as

Aortic endovascular repairAscending-to-descending aortic graftCoarctation of the aortaExtra-anatomic aortic graftHeart transplantationHybrid approachReoperation

Identifiers

PMID41684877

DOI10.1016/j.jhlto.2026.100486

PMCPMC12890824

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