title: Novel surgical incision for treatment of extensive aortic aneurysm: a case of straight incision with rib-cross (SIRC) approach.
abstract: Spiral incision of the thoracic wall through the 5th or 6th intercostal space has been a standard approach for thoracoabdominal and descending aorta replacement (Interact Cardiovasc Thorac Surg 18:278–282, 2014). The exposure of the proximal lesion, however, is often insufficient for patients with a flat chest. In this connection, Asian patients tend to have a narrower chest cavity and the flat chest is frequently seen in Marfan syndrome patients. A novel straight incision with rib-cross approach was applied for such a patient with a narrow or flat chest to make aortic repair easier and safer. We herein present a case of a 37-year-old male diagnosed with extensive aortic aneurysm associated with chronic aortic dissection, who underwent one-stage repair of the aortic arch and thoracoabdominal aortic aneurysm via a novel surgical incision.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Inoue
authors.forename: Kenji
authors.initials: K
authors.lastname: Minatoya
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Oda
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Seike
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Sasaki
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D012272:Ribs / Q000601:surgery; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed