Composite aortoplasty for recurrent coarctation after neonatal repair in Williams syndrome Jeni L Marks, MD, Max B Mitchell, MD, David N Campbell, MD,

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Presentation transcript:

Composite aortoplasty for recurrent coarctation after neonatal repair in Williams syndrome Jeni L Marks, MD, Max B Mitchell, MD, David N Campbell, MD, Warren H Toews, MD The Annals of Thoracic Surgery Volume 77, Issue 1, Pages 319-321 (January 2004) DOI: 10.1016/S0003-4975(03)00655-6

Fig 1 Angiogram demonstrating recurrent arch obstruction with extensive descending aortic involvement. Comparison with the 4F catheter (1.3-mm diameter) reveals the severity of aortic obstruction. The Annals of Thoracic Surgery 2004 77, 319-321DOI: (10.1016/S0003-4975(03)00655-6)

Fig 2 Composite allograft and subclavian flap aortoplasty. (A) The aortotomy extends from the distal ascending aorta to the mid descending thoracic aorta and is connected to the left subclavian artery flap incision. (B) The left subclavian artery flap is turned down into the descending thoracic aorta and the aorta is augmented with a homograft patch. The Annals of Thoracic Surgery 2004 77, 319-321DOI: (10.1016/S0003-4975(03)00655-6)