title: A method of enlarging the distal transverse arch in infants with hypoplasia and coarctation of the aorta.
abstract: Immediate operation in infants suffering from severe congestive heart failure and coarctation of the aorta associated with hypoplasia of the distal transverse aortic arch often poses a difficult technical problem. Frequently the anastomosis between the hypoplastic arch and the descending thoracic aorta fails to relieve the gradient across the hypoplastic segment appreciably. A technique of enlarging the lumen of the distal arch and thereby further lowering the gradient has been found effective and is presented.
mesh_terms: D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000601:surgery; D006801:Humans; D007223:Infant