title: Off-pump ascending to descending aorta bypass grafting with descending aneurysm exclusion.
abstract: We performed an ascending to descending aorta bypass grafting with exclusion of the descending thoracic aortic aneurysm through a median sternotomy incision without cardiopulmonary bypass in a patient with severe chronic obstructive pulmonary disease. The patient was a 75-year-old man who had undergone endovascular stent-graft placement for a descending thoracic aortic aneurysm. The operation became necessary because the aneurysm continued to expand without evidence of endoleak. The postoperative course was uneventful, and without respiratory morbidity.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido University, N14 W5, Kita-ku, Sapporo 060-8648, Japan. kunihara@med.hokudai.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Kunihara
authors.forename: N
authors.initials: N
authors.lastname: Shiiya
authors.forename: T
authors.initials: T
authors.lastname: Oh-oka
authors.forename: K
authors.initials: K
authors.lastname: Yasuda
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D015607:Stents; D013249:Sternum / Q000601:surgery; D014057:Tomography, X-Ray Computed