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  • Title: One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta.
    Author: Shimada M, Hoashi T, Kagisaki K, Oda T, Shiraishi I, Kurosaki K, Kitano M, Ichikawa H.
    Journal: Gen Thorac Cardiovasc Surg; 2012 Sep; 60(9):575-7. PubMed ID: 22614526.
    Abstract:
    We treated a 7-day-old neonate with aortic coarctation, left aortic arch, right-side descending aorta, aberrant right subclavian artery, and outlet ventricular septal defect. Surgical one-stage repair consisting of coarctation repair by extended direct anastomosis, patch closure of the ventricular septal defect, and translocation of the right subclavian artery was performed under a separated (upper and lower body) perfusion with ascending and thoracic descending aortic cannulation. The postoperative course was complicated with massive chylous effusion, which was successfully treated by thoracic duct ligation.
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