Minimally invasive video-assisted graft replacement of a descending thoracic aortic aneurysm.
Standard surgical therapy of descending thoracic aortic aneurysms entails obligate extensive operative exposure that is associated with significant postoperative pain and morbidity. A 70-year-old patient with multiple significant comorbidities including severe chronic obstructive pulmonary disease (force expiratory volume at 1 second, 0.66 L) presented with a highly symptomatic, eccentric, descending thoracic aortic aneurysm. The patient underwent successful minimally invasive video-assisted graft repair of this aneurysm. This report represents the first known clinical application of this operative approach.
Woo
Y Joseph
YJ
Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA. wooy@upbs.upenn.edu
Childers
Henry
H
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D010781:Photography; D011859:Radiography; D020535:Video-Assisted Surgery / Q000379:methods*