Ascending aortic replacement through right thoracotomy.
A 62-year-old woman with a history of esophageal resection and colon interposition with anterosternal subcutaneous tunnel required replacement of the ascending aorta due to dissecting aortic aneurysm. Preoperative three-dimensional computed tomography enabled us to reveal that right thoracotomy could offer an ascending aortic operation. The patient underwent successful operation under hypothermic circulatory arrest and the right anterolateral thoracotomy provided safe exposure of the diseased ascending aorta even when the suprasternal tunnel precluded conventional median sternotomy.
Motoyoshi
Naotaka
N
Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan. paq@mva.biglobe.ne.jp
Oda
Katsuhiko
K
Tsuru
Yusuke
Y
Tabayashi
Koichi
K
D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed / Q000379:methods