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Ann Thorac Surg 2004;78:e58-e60
© 2004 The Society of Thoracic Surgeons

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Median sternotomy for reoperation of the distal aortic arch in postcoarctectomy patients

Joris W. J. Vriend, MDa, Barbara J. M. Mulder, MD, PhDa, Paul H. Schoof, MD, PhDb, Mark G. Hazekamp, MD, PhDb,*

a Department of Cardiology, Academic Medical Center, Amsterdam, the Netherlands
b Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, the Netherlands

Accepted for publication March 30, 2004.

* Address reprint requests to Dr Hazekamp, Department of Cardiothoracic Surgery, Leiden University Medical Center Leiden, PO Box 9600, 2300 RC Leiden, the Netherlands
m.g.hazekamp{at}lumc.nl

We report the usefulness of a median sternotomy approach for the surgical treatment of residual aortic gradients or recoarctation and aortic aneurysms. This series confirms that excellent surgical results can be obtained in this technically challenging group of patients needing postcoarctation repair.






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