Daniel J. DiBardino, MD, Jeffrey S. Heinle, MD, Grace C

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Presentation transcript:

Anatomic reconstruction for recurrent aortic obstruction in infants and children Daniel J. DiBardino, MD, Jeffrey S. Heinle, MD, Grace C. Kung, MD, Glenn T. Leonard, MD, Emmett D. McKenzie, MD, Jason T. Su, MD, Charles D. Fraser, MD The Annals of Thoracic Surgery Volume 78, Issue 3, Pages 926-932 (September 2004) DOI: 10.1016/j.athoracsur.2004.02.126

Fig 1 (A) Preoperative magnetic resonance imaging study of a patient with recurrent aortic obstruction after a subclavian advancement operation at 6 days of life. Note the significant anatomic obstruction at the level of the midarch, responsible for a 46-mm Hg gradient with isoproterenol infusion at the time of preoperative catheterization. (B) Postoperative magnetic resonance imaging study of the same patient after complete repair of recurrent aortic obstruction through a median sternotomy and patch aortoplasty under deep hypothermic circulatory arrest. Note the absence of obstruction at the level of the aortic arch. The Annals of Thoracic Surgery 2004 78, 926-932DOI: (10.1016/j.athoracsur.2004.02.126)