Median sternotomy for reoperation of the distal aortic arch in postcoarctectomy patients.

We report the usefulness of a median sternotomy approach for the surgical treatment of residual aortic gradients or recoarctation and aortic aneurysms. This series confirms that excellent surgical results can be obtained in this technically challenging group of patients needing postcoarctation repair. [Copyright &y& Elsevier]