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. 2019 Dec 12;7:512. doi: 10.3389/fped.2019.00512

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Copyright © 2019 Kamran and Jennings.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Posterior descending aortopexy. (A) Anatomic relationships of the descending aorta to the esophagus and the spine. (B) Cross-sectional view: the esophagus is rotated to the right and the descending aorta is moved to the left and secured to the side of the spine as posteriorly as necessary to relieve posterior pressure off the left mainstem bronchus. (C) Descending aortopexy sutures are tied, relieving left mainstem posterior intrusion and compression between the descending aorta and the pulmonary artery.