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Updated: Oct 7, 2026

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position
Published on: April 1, 2022
Aortic elongation with prosthetic graft followed by aortopexy for fixed left main bronchial compression in an
1Department of Pediatric Cardiovascular Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan.
Abstract:
Airway compression in older children is uncommon and becomes more challenging when thoracic deformities alter aortic anatomy. A 16-year-old girl with severe scoliosis and chronic bedridden status presented with progressive respiratory distress caused by compression of the left main bronchus between the ascending aorta and a right-sided descending aorta. As conventional aortopexy alone was unlikely to achieve adequate decompression, aortic elongation using a prosthetic graft was performed to reposition the descending aorta posteriorly, followed by aortopexy. Postoperative imaging confirmed complete bronchial decompression, and the patient's respiratory symptoms resolved.
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