Modified muscle-sparing high approach to the thoracoabdominal aorta.
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.
Belov
Iuri V
IV
, Department for Surgery of the Aorta and its Branches. 2 Abrikosovsky per., Moscow, 119992, Russia. 7332326@mail.ru.
Stepanenko
Anna B
AB
Gens
Andrei P
AP
Savichev
Dmitri D
DD
Komarov
Roman N
RN
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*