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Ann Thorac Surg 1977;23:261-263
© 1977 The Society of Thoracic Surgeons
Department of Surgery, Tufts University School of Medicine, and the Department of Cardiothoracic Surgery, New England Medical Center Hospital, Boston, MA.
Accepted for publication June 18, 1976.
* Address reprint requests to Dr. Amato, Department of Cardiothoracic Surgery, New England Medical Center Hospital, 171 Harrison Ave, Boston, MA 02111.
Immediate operation in infants suffering from severe congestive heart failure and coarctation of the aorta associated with hypoplasia of the distal transverse aortic arch often poses a difficult technical problem. Frequently the anastomosis between the hypoplastic arch and the descending thoracic aorta fails to relieve the gradient across the hypoplastic segment appreciably. A technique of enlarging the lumen of the distal arch and thereby further lowering the gradient has been found effective and is presented.
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