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Ann Thorac Surg 2000;69:1951-1953
© 2000 The Society of Thoracic Surgeons

Case reports

Midline exposure of the thoracoabdominal aorta

Takashi Kunihara, MDa, Norihiko Shiiya, MDa, Yasuhiro Kamikubo, MDa, Yoshiro Matsui, MDa, Keishu Yasuda, MDa

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

Address reprint requests to Dr Shiiya, Department of Cardiovascular Surgery, Hokkaido University Hospital, N14W 5, Kita-ku, Sapporo 060-8648, Japan
e-mail: shiyanor{at}med.hokudai.ac.jp

Extended aortic replacement from the aortic arch to the descending thoracic or thoracoabdominal aorta has been performed through a left thoracotomy or a thoracoabdominal incision combined with or without a median sternotomy. However, a left thoracotomy incision may be unfavorable when dense adhesion of the lung is anticipated. We report a redo patient who underwent simultaneous replacements of the aortic arch and the thoracoabdominal aorta through a midline incision without entering the left pleural cavity.






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