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Ann Thorac Surg 2003;75:1660-1661
© 2003 The Society of Thoracic Surgeons

How to do it

A method for descending thoracic aortic replacement retaining a posterior strip bearing intercostal vessels

James C. Halstead, MA, MRCSa*, Max Baghai, MRCSa, Eric Lim, MRCSa, John J. Dunning, FRCSa, Stephen R. Large, FRCP, FRCSa

a Department of Cardiothoracic Surgery, Papworth Hospital, Papworth Everard, Cambridge, United Kingdom

Accepted for publication October 17, 2002.

* Address reprint requests to Mr Halstead, 27 Longridge Road, Earl’s Court, London, SW5 9SD, United Kingdom
e-mail: jameschalstead{at}hotmail.com

Operations for aneurysms of the descending thoracic aorta are still fraught with danger. Spinal cord injury remains a major cause of morbidity. Many therapeutic strategies have been suggested to reduce the incidence of this devastating complication, including reimplantation of intercostal vessels. However, reimplantation of intercostal vessels, both individually or in groups, is time consuming and compounded by the absence of a reliable means of identifying which vessels actually supply the cord. We present a technique that allowed inclusion of all potentially important descending aortic branching vessels into the repair leading to a favorable outcome in a series of patients.




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[Abstract] [Full Text] [PDF]


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