title: Modified muscle-sparing high approach to the thoracoabdominal aorta.
abstract: A modified muscle-sparing high approach to the thoracoabdominal aorta is described, which improves surgical access for thoracoabdominal aortic aneurysm repair. Since 2000, 16 patients with type I and II thoracoabdominal aortic aneurysms have undergone aortic graft replacement using this approach via the 3(rd) intercostal space. There were no hospital deaths. Three (18.8%) patients had severe postoperative pain requiring prolonged analgesia. This approach is a good alternative to the standard approach via the 6(th) intercostal space.
authors.affiliation: , Department for Surgery of the Aorta and its Branches. 2 Abrikosovsky per., Moscow, 119992, Russia. 7332326@mail.ru.
authors.forename: Iuri V
authors.initials: IV
authors.lastname: Belov
authors.forename: Anna B
authors.initials: AB
authors.lastname: Stepanenko
authors.forename: Andrei P
authors.initials: AP
authors.lastname: Gens
authors.forename: Dmitri D
authors.initials: DD
authors.lastname: Savichev
authors.forename: Roman N
authors.initials: RN
authors.lastname: Komarov
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007366:Intercostal Muscles / Q000601:surgery*; D010149:Postoperative Pain / Q000517:prevention & control; D013908:Thoracotomy / Q000379:methods*