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  • Title: One-stage repair of aberrant left brachiocephalic artery and coarctation of the aorta in right aortic arch.
    Author: Gandolfo F, Albanese SB, Secinaro AD, Carotti A.
    Journal: Interact Cardiovasc Thorac Surg; 2013 Aug; 17(2):444-6. PubMed ID: 23667064.
    Abstract:
    The combination of right aortic arch with aberrant left brachiocephalic artery and aortic coarctation is very rare. Here, we report the case of a 3.1-kg neonate with multiple malformations who received detailed preoperative anatomical definition by chest computed tomography (CT) scan and eventually underwent one-stage repair at the age of 17 days. The surgical technique included left brachiocephalic artery detachment and its end-to-end anastomosis to the branch of a monofurcated pulmonary homograft used to treat the aortic arch coarctation simultaneously. Postoperative control chest CT scan performed 3 months postoperatively revealed optimal repair. Considerations on imaging and surgical technique are reported.
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