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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
ReviewTransverse aortic arch obstruction: when to go from the front.
- John W Brown, Mark D Rodefeld, and Mark Ruzmetov.
- Section of Cardiothoracic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. jobrown@iupui.edu
- Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009 Jan 1: 66-9.
AbstractTransverse aortic arch hypoplasia involving some or all segments of the arch (tubular hypoplasia) may exist in association with intra-cardiac anomalies of varying severity. Surgical repair of the distal transverse aortic arch and isthmus are adequately managed by an extended end-to-end coarctation repair in most infants via a left thoracotomy. The surgical management and timing of proximal aortic arch obstruction is controversial but almost always requires an approach via sternotomy using cardiopulmonary bypass.
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