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Philip J. Hess
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Ann Thorac Surg 1984;37:261-263
© 1984 The Society of Thoracic Surgeons

Articles

Ascending-Distal Abdominal Aorta Bypass for Treatment of Hypoplastic Aortic Arch and Atypical Coarctation in the Adult

Francis Robicsek, M.D.*, Philip J. Hess, M.D., Peter Vajtai, M.D.

From the Department of Thoracic and Cardiovascular Surgery and the Heineman Medical Research Laboratories, Charlotte Memorial Hospital and Medical Center, Charlotte, NC

Accepted for publication July 19, 1983.

* Address reprint requests to Dr. Robicsek, The Sanger Clinic, P.A., PO Box 220868, 1960 Randolph Rd, Charlotte, NC 28207

Repair of aortic coarctation is usually an easy operation. However, it can be very difficult under certain circumstances. These include operating on an adult or operating when specific anatomical variations, such as hypoplasia of the transverse aortic arch or calcification of the coarctation area, are present. We recommend that in such cases the situation be handled using ascending aorta-lower abdominal aorta bypass grafts rather than conventional resection and anastomosis of the coarctation itself. The cases of 2 patients are presented in whom a hypoplastic aortic arch associated with atypical coarctation was repaired using such a procedure.




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