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Ann Thorac Surg 2002;73:278-280
© 2002 The Society of Thoracic Surgeons

Case report

Antero-axillary access for hypoplastic aortic arch repair

Sandra Fraund, MD*a, Andreas Böning, MDa, Jens Scheewe, MDa, Jochen T. Cremer, MDa

a Department for Cardiovascular Surgery, University of Kiel, Kiel, Germany

Accepted for publication April 17, 2001.

* Address reprint requests to Dr Fraund, Department for Cardiovascular Surgery, University of Kiel, Arnold-Heller-Strasse 7, 24105 Kiel, Germany
e-mail: sfraund{at}kielheart-uni-kiel.de

A 16-year-old adolescent presented with systemic hypertension due to a hypoplasia of the aortic arch resulting in a significant stenosis. In childhood, he underwent surgery for aortic coarctation through a left posterolateral thoracotomy. We present the successful repair of the complete aortic arch that could be achieved applying a patch plasty of bovine pericardium through an antero-axillary thoracotomy.






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