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Antonino Loforte
Gaetano Gargiulo
Roberto Di Bartolomeo
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Ann Thorac Surg 2006;81:758-760
© 2006 The Society of Thoracic Surgeons


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Aneurysms After Coarctation Repair Associated With Hypoplastic Aortic Arch: Surgical Management Through Median Sternotomy

Davide Pacini, MD a , * , Marcello Bergonzini, MD a , Antonino Loforte, MD a , Gaetano Gargiulo, MD b , Emanuele Pilato, MD a , Roberto Di Bartolomeo, MD a

a Department of Cardiac Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
b Department of Pediatric Cardiac Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy

Accepted for publication November 2, 2004.

* Address correspondence to Dr Pacini, c/o Unità Operativa di Cardiochirurgia, Università degli studi di Bologna, Policlinico S. Orsola, Via Massarenti 9, Bologna, 40138 Italy (Email: dpacini{at}hotmail.com).

Aneurysm development after repair of aortic coarctation is not a rare complication, but it is highly related to hypoplasia of the transverse aortic arch. The optimal management of such cases is not clearly established. We propose a single-stage transmediastinal re-repair using moderate hypothermic cardiopulmonary bypass and antegrade selective cerebral perfusion.







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