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Ann Thorac Surg 2001;71:1008
© 2001 The Society of Thoracic Surgeons

Case report: invited commentary

Invited commentary

Markus K. Heinemann, MDa, Gerhard Ziemer, MDa

a Department of Thoracic, Cardiac, and Vascular Surgery, Tübingen University Hospital, Hoppe-Seyler-St 3, D-72076 Tübingen, Germany

e-mail: heinemann{at}uni-mainz.de

This case report nicely illustrates the little known fact that apparently small interposition grafts can be quite sufficient far into adolescence and even adulthood.

We operated on a boy with congenital stenosis of the descending thoracic aorta by inserting a 6 mm polytetrafluoroethylene graft at the age of 9 months. This graft was replaced after 7 years with a 12 mm coated Dacron prosthesis. The last follow-up 9 years later showed a gradient-free situation in a youth now 17 years old, measuring 165 cm and (unfortunately) weighing 86 kg. Suffice it to say that the human descending thoracic aorta is a delicate vessel.


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Eleven-year follow-up after descending thoracic aorta replacement in a small child
Vladimir V. Alexi-Meskishvili and Felix Berger
Ann. Thorac. Surg. 2001 71: 1006-1008. [Abstract] [Full Text] [PDF]




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