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Ann Thorac Surg 1993;55:151-152
© 1993 The Society of Thoracic Surgeons

Articles

Distal aortic arch aneurysmectomy and coronary revascularization through a left thoracotomy

Shinichi Takamoto, MD*, Takaaki Matsuda, MD, Mikio Harada, MD, Yukio Shimamura, MD

Division of Cardiovascular Surgery, Showa General Hospital, Tokyo, Japan

Accepted for publication March 23, 1992.

* Address reprint requests to Dr Takamoto, Division of Cardiovascular Surgery, Showa General Hospital, 2-450, Tenjin-cho, Kodaira, Tokyo, 187, Japan.

A successful single operation of a distal aortic arch aneurysm and coronary artery disease through a left lateral thoracotomy using a simple hypothermic retrograde cerebral perfusion technique for cerebral protection in a 64-year-old man is reported. During ventricular fibrillation accompanying cooling to 15 °C, a left internal thoracic artery was anastomosed with the left anterior descending coronary artery, and the aneurysm was replaced with a patch during hypothermic retrograde cerebral perfusion.




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