bypass aorto-aortico termino-terminale

English translation: end-to-end aortic interposition

11:03 Jan 27, 2019
Italian to English translations [PRO]
Medical - Medical: Cardiology
Italian term or phrase: bypass aorto-aortico termino-terminale
From a discharge report:
Pregressa aneurismectomia dell’aorta toraco-addominale con confezionamento di bypass aorto-aortico termino-terminale e reimpianto di AMS, ARS, ARD e del tripode celiaco, successiva ricanalizzazione endovascolare di bypass aorto-renale destro con necessità di stenting dell’anastomosi prossimale

I'm not sure what the usual way would be to refer to this in English. Can anyone help?
pennylyd
United Kingdom
Local time: 17:33
English translation:end-to-end aortic interposition
Explanation:
See discussion - IMO, "termino-terminale" is not compatible with a "bypass" procedure. When bypassing a stretch of vasculature (or intestines, regarding spielenschach's references), the bypassed stretch is typically retained, and end-to-side anastomoses are created at the beginning and end of it.

Maybe these surgeons are used to calling the vascular prostheses "bypass" (= the things, not only the procedures) as they are mostly used for creating bypasses, and here they inappropriately still use "bypass" even if the prosthesis is interposed.

"Anastomosis" does not seem feasible as the intervention described covers a fairly large distance (involving the orifices of upper abdominal as well as renal arteries). While I am not a vascular surgeon, I really don't think that it is possible to cut out such a large stretch and then simply connect the ends without interposing a vascular prosthesis – there would be too much tension at the connection site, and the risk of prompt rupture.
Selected response from:

Anne Schulz
Germany
Local time: 18:33
Grading comment
4 KudoZ points were awarded for this answer



Summary of answers provided
2end-to-end aortic interposition
Anne Schulz
Summary of reference entries provided
?
José Patrício

Discussion entries: 5





  

Answers


20 hrs   confidence: Answerer confidence 2/5Answerer confidence 2/5
end-to-end aortic interposition


Explanation:
See discussion - IMO, "termino-terminale" is not compatible with a "bypass" procedure. When bypassing a stretch of vasculature (or intestines, regarding spielenschach's references), the bypassed stretch is typically retained, and end-to-side anastomoses are created at the beginning and end of it.

Maybe these surgeons are used to calling the vascular prostheses "bypass" (= the things, not only the procedures) as they are mostly used for creating bypasses, and here they inappropriately still use "bypass" even if the prosthesis is interposed.

"Anastomosis" does not seem feasible as the intervention described covers a fairly large distance (involving the orifices of upper abdominal as well as renal arteries). While I am not a vascular surgeon, I really don't think that it is possible to cut out such a large stretch and then simply connect the ends without interposing a vascular prosthesis – there would be too much tension at the connection site, and the risk of prompt rupture.

Anne Schulz
Germany
Local time: 18:33
Specializes in field
Native speaker of: German
PRO pts in category: 48

Peer comments on this answer (and responses from the answerer)
neutral  liz askew: interesting:)
1 day 7 hrs
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Reference comments


2 hrs
Reference: ?

Reference information:
Single anastomosis gastric bypass (one anastomosis gastric bypass or mini-gastric bypass) has been presented as an option of surgical treatment for obese - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793146/
Hand-assisted laparoscopic aorto-aortic bypass: - https://www.ncbi.nlm.nih.gov/pubmed/15181506
reestablishment of circulation with termino-terminal bypass - https://books.google.pt/books?id=xewkBAAAQBAJ&pg=PA66&lpg=PA...
end-to-end anastomosis to the aorta - https://www.linguee.com/english-italian/search?source=auto&q...

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Note added at 9 horas (2019-01-27 20:29:57 GMT)
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aortico-aorta=aorta
Bypass and anastomosis are the same thing:
Mini gastric bypass also known as omega loop or single anastomosis gastric bypass - https://www.google.com/search?biw=1280&bih=470&ei=gBBOXN6iDa...
ANASTOMOSIS: https://medical-dictionary.thefreedictionary.com/Anastamosis
patients who survived ascending aorta–aortic arch operations through a median sternotomy since 1986 were examined for factors influencin - https://www.sciencedirect.com/science/article/pii/S002252230...
The aortic arch, arch of the aorta, or transverse aortic arch is the part of the aorta between the ascending and descending aorta. - https://en.wikipedia.org/wiki/Aortic_arch
end-to-end anastamosis:
When the coarctation is relatively small, the surgeon can remove the narrowed section of aorta and re-join the two ends. This is called an end-to-end anastamosis and is often the best surgical option to treat the condition. - https://my.clevelandclinic.org/health/diseases/16876-coarcta...
Mini gastric bypass also known as omega loop or single anastomosis gastric bypass - https://www.google.pt/search?ei=rg5OXMiYCtCejLsPpc2PqAg&q=by...

José Patrício
Portugal
Native speaker of: Native in PortuguesePortuguese
PRO pts in category: 4

Peer comments on this reference comment (and responses from the reference poster)
neutral  Anne Schulz: Actually, an anastomosis is a connection between two "tubes", and a bypass is - well - a bypass. Also, the existence of a "single anastomosis bypass" creates no evidence that bypass and anastomosis are the same thing ;-)
18 hrs
  -> In this case
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