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Ann Thorac Surg 2002;73:1969-1971
© 2002 The Society of Thoracic Surgeons

Case report

Autograft aortic arch extension and sleeve resection for bronchial compression after interrupted aortic arch repair

Max B. Mitchell, MDa*, David N. Campbell, MDa, Warren H. Toews, MDb, Talat Z. Khan, MDc

a Department of Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
b Department of Pediatric Cardiology, Presbyterian Saint Luke’s Medical Center, Denver, Colorado, USA
c Department of Pediatric Pulmonology, Presbyterian Saint Luke’s Medical Center, Denver, Colorado, USA

Accepted for publication December 5, 2001.

* Address reprint requests to Dr Mitchell, 1056 East 19th Ave, B200, Denver, CO 80218 USA
e-mail: mitchell.max{at}tchden.org

Successful correction of bronchial compression and severe bronchomalacia complicating repair of interrupted aortic arch was achieved using transverse aortic arch extension with a pulmonary artery autograft and left bronchial sleeve resection. This procedure increased space within the aortic arch and eliminated bronchial narrowing with excellent results.




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