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Ann Thorac Surg 1998;65:546
© 1998 The Society of Thoracic Surgeons

Case Reports

Simultaneous Total Aortic Replacement Without a Sternotomy Incision

Norihiko Shiiya, MD, Keishu Yasuda, MD, Toshifumi Murashita, MD, Yoshiro Matsui, MD, Shigeyuki Sasaki, MD

Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan

Accepted for publication September 16, 1997.

Dr Shiiya, Department of Cardiovascular Surgery, Hokkaido University Hospital, N14W5, Kita-ku, Sapporo 060, Japan.

Total aortic replacement is preferably performed by staged operations, and reports of a simultaneous operation are few. In these reports, both a median sternotomy and a thoracoabdominal incision are employed. We report a patient who successfully underwent simultaneous total aortic replacement without a sternotomy incision. The technique and the feasibility of the operation are discussed.




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