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Home help feedback subscriptions archive search table of contents quick search:   [advanced] author: keyword(s): year:  vol:  page:  this article alert me when this article is cited alert me if a correction is posted services email this article to a friend similar articles in this journal similar articles in pubmed alert me to new issues of the journal add to personal folders download to citation manager author home page(s): ricardo j. Moreno-cabral hope s. Maki permission requests citing articles citing articles via highwire citing articles via google scholar google scholar articles by moreno-cabral, r. J. Articles by maki, h. S. Search for related content pubmed pubmed citation articles by moreno-cabral, r. J. Articles by maki, h. S. J thorac cardiovasc surg 1994;108:587-588 © 1994 mosby, inc. Letters to the editor coarctation of aorta with right-sided arch: surgical correction through right thoracotomy ricardo j. Moreno-cabral, md, hope s. Maki, md 8010 frost st. Suite 501san diego, ca 92123 to the editor: coarctation of the aorta with right-sided aortic arch is rare. A search of the surgical literature revealed only six reported cases, none of which were repaired through a right thoracotomy. My colleagues and i treated a 15-month-old girl in 1989. Catheterization showed a supracristal ventricular septal defect with a right-sided aortic arch and a discrete coarctation of the aorta with a 15 mm hg gradient at the origin of an aberrant right subclavian artery. Reactive pulmonary hypertension (65/20 mm hg), mild mitral regurgitation, and a moderately dilated left ventricle were also noted. The pulmonary/systemic flow ratio was 3. 2:1. Pulmonary artery banding was done on march 1, 1989. The pulmonary pressures were brought to 30/15 mm hg, with a simultaneous increase of systemic pressure from 50 to 65 mm hg; oxygen saturations were maintained at 100%. The patient returned for reoperation in november 1989. Repeat catheterization showed that the gradient in the coarctation had increased from 15 to 70 mm hg. In addition, a subaortic peak systolic gradient of 70 mm hg was identified. Because of these findings of increased severity of coarctation after pulmonary artery banding, we proceeded with coarctation repair. Inasmuch as the descending aorta had not been visible during the left thoracotomy for pulmonary artery banding, we approached the coarctation through a right thoracotomy. The descending aorta was located behind the esophagus. buy cheap viagra buy viagra online viagra for sale cheap viagra online cheap viagra buy viagra without prescriptions cheap viagra viagra without a doctor prescription viagra without a doctor prescription buy viagra super force erectile dysfunction pills The aberrant b. RUDMAN IRENA
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