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Ann Thorac Surg 2002;74:1244-1246
© 2002 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
Accepted for publication May 19, 2002.
* Address reprint requests to Dr Fukada, Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 0608543 Japan
e-mail: atsfukada{at}yahoo.co.jp
To minimize surgical trauma, we performed graft replacement of a descending aortic aneurysm through a minithoracotomy (12 cm) with the use of thoracoscopy and special vascular clamps. Contrast magnetic resonance angiography can be useful for preventing postoperative paraplegia by revealing the Adamkiewicz artery. The patient was satisfied with the postoperative comfort and good cosmetic result. Further refinement of the technique and instrumentation would make this technique a valuable adjunct to conventional thoracic aortic surgery.
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