Rib-cross thoracotomy for replacement of the thoracoabdominal or total descending aorta.
We describe the use of rib-cross thoracotomy and costal coaptation pins made with bioabsorbable poly-L-lactide for rib approximation. This thoracotomy provided an excellent intraoperative exposure of the entire descending aorta and thoracoabdominal aorta in patients with extended thoracoabdominal aortic aneurysm without increase in postoperative morbidity.
Tsukube
Takuro
T
Division of Cardiovascular, Thoracic, and Pediatric Surgery, Department of Surgery, Kobe University, Graduate School of Medicine, Kobe, Japan.
Yoshimura
Masahiro
M
Matsuda
Hitoshi
H
Okada
Kenji
K
Matsukawa
Ritsu
R
Hino
Yutaka
Y
Murakami
Hirohisa
H
Kawanishi
Yujiro
Y
Okita
Yutaka
Y
D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D013908:Thoracotomy / Q000379:methods*
D011091:Polyesters; C033616:poly(lactide)