Aneurysms after coarctation repair associated with hypoplastic aortic arch: surgical management through median sternotomy.

Pacini, Davide; Bergonzini, Marcello; Loforte, Antonino; Gargiulo, Gaetano; Pilato, Emanuele; Di Bartolomeo, Roberto · Ann Thorac Surg · 2006

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Abstract

Aneurysm development after repair of aortic coarctation is not a rare complication, but it is highly related to hypoplasia of the transverse aortic arch. The optimal management of such cases is not clearly established. We propose a single-stage transmediastinal re-repair using moderate hypothermic cardiopulmonary bypass and antegrade selective cerebral perfusion.

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