title: Resection of ascending aorta aneurysm in redo surgery through an anterior thoracotomy.
abstract: Resection of an aneurysm of the distal ascending aorta was performed under hypothermic circulatory arrest and retrograde cerebral perfusion though a right anterior thoracotomy. Seven years before, the patient had undergone orthotopic cardiac transplantation and had required pectoral muscle plasty to heal an infectious mediastinitis. This new approach avoided a potentially hazardous sternotomy and allowed successful resection of the aneurysm and reconstruction of a thrombosed innominate vein.
authors.affiliation: Cardiovascular Surgery, University Hospital, Zürich, Switzerland. rene.pretre@chi.usz.ch
authors.forename: R
authors.initials: R
authors.lastname: Prêtre
authors.forename: M I
authors.initials: MI
authors.lastname: Turina
mesh_terms: D001014:Aortic Aneurysm / Q000601:surgery*; D016121:Brachiocephalic Veins / Q000601:surgery; D006324:Heart Arrest, Induced; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery; D013908:Thoracotomy; D013927:Thrombosis / Q000601:surgery