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Joseph J. DeRose, Jr
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Ann Thorac Surg 2004;78:e28-e29
© 2004 The Society of Thoracic Surgeons

Case report

Antegrade endovascular repair of a coarctation-associated aneurysm through an upper hemi-sternotomy

Joseph J. DeRose, Jr, MD*a, Eric C. Martin, MDb, Robert C. Ashton, Jr, MDa, Scott Belsley, MDa, Daniel G. Swistel, MDa, George J. Todd, MDb

a Division of Cardiothoracic Surgery, Columbia University College of Physicians & Surgeons, St. Luke's Roosevelt Hospital Center, New York, New York, USA
b Division of Vascular Surgery, New York, New York, USA, Columbia University College of Physicians and Surgeons, St. Luke's Roosevelt Hospital Center, New York, New York, USA

Accepted for publication August 28, 2003.

* Address reprint requests to Dr DeRose, 1090 Amsterdam Ave, Suite 7A, New York, NY 10025, USA
e-mail: jjd11{at}columbia.edu

Late aneurysm formation is a well-described complication after surgical correction of aortic coarctation. Endovascular repair of such aneurysms avoids the morbidity of conventional reoperative thoracic surgery. We describe a unique case of antegrade endovascular repair of a distal coarctation-associated aneurysm with vascular access acquired through the aortic arch by an upper hemi-sternotomy.






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