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Ann Thorac Surg 1989;48:303-304
© 1989 The Society of Thoracic Surgeons


Articles

An anterior longitudinal aortotomy with a distal aortic transection for the arterial switch operation

Kisaburo Sakamoto, MD*, Michio Yokota, MD, Inshin Kyoku, MD, Mitsuru Kitano, MD, Hisao Mizuhara, MD, Hirotomo Nishii, MD

Department of Cardiovascular Surgery, Shizuoka Children's Hospital, Shizuoka, Japan

* Address reprint requests to Dr. Sakamoto, Department of Cardiovascular Surgery, Shizuoka Children's Hospital, Urushiyama 860, Shizuoka 420, Japan.

An additional longitudinal aortotomy on the anterior aspect of the old ascending aorta after distal aortic transection is very effective for removal of the coronary buttons, prevention of deformation of the neopulmonary arterial ring, and reconstruction of the neopulmonary arterial trunk after the Lecompte maneuver, especially for the neonatal arterial switch operation.




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