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Ann Thorac Surg 1978;25:150-154
© 1978 The Society of Thoracic Surgeons

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Articles

Reoperation for Complications after Inflow Correction of Transposition of the Great Arteries: Technical Considerations

Thoracic Unit, The Hospital for Sick Children, Great Ormond Street, London, England.

Accepted for publication June 8, 1977.

^* Address reprint requests to Dr. Stark, The Thoracic Unit, The Hospital for Sick Children, Great Ormond St, London WC1N 3JH, England

A right anterolateral thoracotomy through the fifth or sixth intercostal space is described as an easier approach for reoperations after the Mustard procedure for transposition of the great arteries. Advantages of this approach compared with repeated sternotomy include easier cannulation of the superior and inferior vena cava; less extensive dissection of adhesions, resulting in decreased postoperative bleeding; reduced risk of injury to the coronary arteries and the right phrenic nerve; and improved exposure of intracardiac pathways and the tricuspid valve.

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