title: New "right side median" approach for postoperative re-coarctation of the aorta.
abstract: Anatomic repair of postoperative recurrent coarctation of the aorta is surgically difficult using the conventional lateral approach. Therefore, we have developed a new approach to the stenotic aorta through a median sternotomy, involving division of the superior vena cava and left caudal displacement of the heart. This approach facilitates extensive dissection and mobilization of the descending aorta in the posterior mediastinum behind the heart and also facilitates direct anastomosis of the aortic arch and the descending aorta after resection of the stenosis. This approach is useful for anatomic repair of postoperative recurrent coarctation of the aorta and other posterior mediastinal procedures.
authors: Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors: Takeshi
authors: T
authors: Shinkawa
authors: Masaaki
authors: M
authors: Yamagishi
authors: Keisuke
authors: K
authors: Shuntoh
authors: Tsutomu
authors: T
authors: Matsushita
authors: Katsuji
authors: K
authors: Fujiwara
authors: Nobuo
authors: N
authors: Kitamura
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D011859:Radiography; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*