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Billie-Jean Martin, MD, PhD, Michiko Maruyama, MD, Ivan M. Rebeyka, MD 

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Presentation on theme: "Billie-Jean Martin, MD, PhD, Michiko Maruyama, MD, Ivan M. Rebeyka, MD "— Presentation transcript:

1 Repair of recoarctation after the Norwood operation: The right-sided posterior approach 
Billie-Jean Martin, MD, PhD, Michiko Maruyama, MD, Ivan M. Rebeyka, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 152, Issue 6, Pages (December 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Initial cannulation and exposure prior to mobilization. The distal ascending aorta, superior vena cava, and right atrium are each cannulated. In patients not requiring a bidirectional cavopulmonary connection, single right atrial cannulation is used. Each of the head and neck vessels are encircled and then snared before the aorta is opened. The aortic cannula is advanced into the innominate artery for antegrade cerebral perfusion. B, View of distal arch after mobilization. The aorta is retracted to the left, and the right pulmonary artery is retracted inferiorly. C, Appearance of the aorta after repair. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative images show the appearance of the aorta with the patch partially sewn in, demonstrating excellent exposure (A), and the final appearance of the patch with the aorta distended fully (B). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Right-sided posterior approach to exposure and repair of recurrent aortic coarctation.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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