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The Annals of Thoracic Surgery, Vol 55, 151-152, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Distal aortic arch aneurysmectomy and coronary revascularization through a left thoracotomy

S Takamoto, T Matsuda, M Harada and Y Shimamura
Division of Cardiovascular Surgery, Showa General Hospital, Tokyo, 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 degrees 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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