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Ann Thorac Surg 1981;32:495-498
© 1981 The Society of Thoracic Surgeons

Articles

Recurrent Coarctation of the Thoracic Aorta: Subclavian Flap Arterioplasty with Carotid Reimplantation of the Distal Subclavian Artery

Ulrik Hvass, M.D., Jean-Paul Binet, M.D.*

From the Centre Chirurgical Marie Lannelongue, Plessis Robinson, France

Accepted for publication October 27, 1980.

* Address reprint requests to Pr. Binet, Centre Chirurgical Marie Lannelongue, 133 Ave de la Résistance, 92350 Plessis Robinson, France

Combining a subclavian flap procedure and reimplantation of the distal subclavian artery into the left carotid artery was used in 2 patients with recurrent coarctation of the thoracic aorta. One of the patients was 12 years old and the other, 6 years old.

The operation has several advantages. (1) It is very efficient in relieving recurrent gradients. (2) The use of prosthetic material is avoided. (3) Minimal dissection is required. (4) It prevents subsequent subclavian steal syndrome and long-term ischemia of the left upper limb.




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