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What is End-to-End Anastomosis with Subclavian Flap Aortoplasty ?
The two operations can be combined as a single procedure. Medially end-to-end anastomosis is done between the proximal and distal aorta after resection. Laterally a subclavian flap is sutured as an onlay patch. T11e advantage is that there is much lower incidence of re-coarctation after the combined operation.
Figure: End to end Anastomosis with Subclavian Flap Aortoplasty
This operation is similar to subclavian patch aortoplasty. A diamond shaped Dacron patch is used for widening the coarctation segment. The operation fell into disuse because of high incidence of aneurysm formation in the resected , coarctation ridge opposite to the Dacron patch.
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