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(Chest. 1968;53:148-153.)
© 1968 American College of Chest Physicians

Isthmusplasty for Coarctation of the Aorta

W. Knothe M.D.1 and F. Hehrlein M.D.1

1 Department of Surgery (Director: Prof. K. Vossschulte), Giessen University

Isthmusplasty has proved to be a useful way of repairing coarctation of the aorta. The method is available in two modifications, and allows the widening of every type of coarctation.

Among 56 patients in whom this method was employed, the direct method was used in 16 without mortality, while the indirect plasty was employed in 40, with five postoperative deaths. In two of the fatal cases, removal of the prestenotic hypertension had led to cerebral and coronary insufficiency.

In the surviving patients no clinically demonstrable evidence of restenosis has been found and all those operated on beyond 14 years of age have had their work capacity completely restored.






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Copyright © 1968 by the American College of Chest Physicians.