title: Long segment coarctation of the thoracic aorta in a young adult. An alternative treatment.
abstract: To avoid using an interposition Dacron graft in a 17-year-old female for repair of a long segment coarctation of the aorta, the authors combined reconstructing the thoracic aorta using a left subclavian arterial flap, and reimplanting the distal segment of the subclavian artery into the left carotid artery. coarctation repair was done through a left side thoracotomy and the subclavian artery reimplantation via a short vertical cervicotomy. This operation restores a practically normal anatomy without the inconvenience of the long-term hazards due to using prosthetic material.
mesh_terms: D000293:Adolescent; D001013:Aorta, Thoracic / Q000002:abnormalities; D001017:Aortic Coarctation / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012092:Replantation; D013348:Subclavian Artery / Q000637:transplantation; D013524:Surgical Flaps