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Ann Thorac Surg 1981;32:304-306
© 1981 The Society of Thoracic Surgeons

Articles

Maintenance of Distal Aortic Perfusion by a Heparin-bonded Shunt during Repair of Coarctation of the Aorta with Minimal Collateral Circulation

John C. Alexander, Jr., M.D.*

Department of Surgery, Duke University Medical Center, Durham, NC

Accepted for publication August 20, 1980.

* Address reprint requests to Dr. Alexander, Memorial Hospital, 1275 York Ave, New York, NY 10021

A heparin-bonded shunt was used to maintain distal aortic perfusion during repair of a coarctation of the aorta in a child who showed evidence of minimal collateral circulation preoperatively. This method is quite simple and obviates the technical difficulties inherent in previously described methods designed to maintain distal perfusion while the proximal thoracic aorta is occluded. The technique proved quite effective, and the patient had an uncomplicated postoperative course.




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Copyright © 1981 by The Society of Thoracic Surgeons.