Aneurysms After Coarctation Repair Associated With Hypoplastic Aortic Arch: Surgical Management Through Median Sternotomy Davide Pacini, MD, Marcello.

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Aneurysms After Coarctation Repair Associated With Hypoplastic Aortic Arch: Surgical Management Through Median Sternotomy Davide Pacini, MD, Marcello Bergonzini, MD, Antonino Loforte, MD, Gaetano Gargiulo, MD, Emanuele Pilato, MD, Roberto Di Bartolomeo, MD The Annals of Thoracic Surgery Volume 81, Issue 2, Pages 758-760 (February 2006) DOI: 10.1016/j.athoracsur.2004.11.002 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Angiographic magnetic resonance image of large pseudoaneurysm involving the proximal and distal anastomosis of the aorta-to-aorta bypass graft (patient 1). (B) Angiographic magnetic resonance image of pseudoaneurysm involving the origin of the left subclavian artery associated with aortic arch hypoplasia in patient with previous patch aortoplasty repair (patient 4). The Annals of Thoracic Surgery 2006 81, 758-760DOI: (10.1016/j.athoracsur.2004.11.002) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative view through a median sternotomy approach. (A) Surgical exposure of the pseudoaneurysm (arrow) through the left pleural space by means of downward retraction of the left lung. (B) Visualization and evaluation of the distal anastomosis after cardiopulmonary bypass restarting. The Annals of Thoracic Surgery 2006 81, 758-760DOI: (10.1016/j.athoracsur.2004.11.002) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions