title: Ascending aortic replacement through right thoracotomy.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan. paq@mva.biglobe.ne.jp
authors.forename: Naotaka
authors.initials: N
authors.lastname: Motoyoshi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Oda
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tsuru
authors.forename: Koichi
authors.initials: K
authors.lastname: Tabayashi
mesh_terms: 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