We treated 2 patients with recurrent coarctation after repair of interrupte
d aortic arch. Because they had been operated on with the use of vascular p
rostheses, severe scarring was considered prohibitive for safe dissection.
We successfully carried out anatomic repair with the use of retrograde cere
bral perfusion through a left thoracotomy in both cases. (C) 2001 by The So
ciety of Thoracic Surgeons.