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Aortic valvular insufficiency and postductal aortic coarctation in the adult. Combined surgical management through median sternotomy: a new surgical approach.

A new surgical technique for the relief of aortic coarctation and replacement of the aortic valve has been described. In our patient, aortic valve replacement was combined with a bypass graft from the ascending aorta to the retrocardiac descending thoracic aorta. The clinical findings and the technical details form the basis of this report.

Adult↗

Median sternotomy: extension of laparotomy for ruptured right hemidiaphragm.

A 21-year-old man sustained lacerations of spleen, liver, and right hemidiaphragm from blunt trauma. Exposure and repair of the liver and right hemidiaphragm were facilitated by sternal extension of a midline abdominal incision. This operative plan is recommended in severe torso trauma with suspicion of hepatic and/or diaphragmatic injury.

Adult↗