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The Annals of Thoracic Surgery, Vol 43, 224-225, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Coarctation of the aorta: anastomotic enlargement with subclavian artery: two new surgical options

CA Dietl and AR Torres

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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