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Ann Thorac Surg 1987;43:224-225
© 1987 The Society of Thoracic Surgeons
From the Department of Pediatric Cardiovascular Surgery, Sanatorio Güemes and Fundación Favaloro, Buenos Aires, Argentina
Accepted for publication May 9, 1986.
* Address reprint requests to Dr. Dietl, Fundación Favaloro, Solis 453, Buenos Aires 1078, Argentina
Recoarctation is still observed following surgical treatment of coarctation in small infants. Modifications to conventional surgical techniques are suggested to avoid this serious complication. Coarctectomy is performed. To obtain a much wider noncircumferential anastomosis, the subclavian artery is used to enlarge it either as a flap or by reimplantation. No residual pathological tissue is left behind, and this should help prevent recurrence.
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