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Mark D. Peterson
Edward B. Diethrich
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Ann Thorac Surg 2007;84:1045-1047
© 2007 The Society of Thoracic Surgeons

How To Do It

An Extra Anatomic, Close Chest Approach to Manage an Aortic Arch Aneurysm in an 88-Year-Old Woman

Jacques Kpodonu, MD*, Mark D. Peterson, MD, PhD, Leonardo Aquiar-Lucas, MD, Julio A. Rodriguez-Lopez, MD, Edward B. Diethrich, MD

Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital, Arizona Heart Institute, Phoenix, Arizona

Accepted for publication January 11, 2007.

* Address correspondence to Dr Kpodonu, Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Institute, 2632 N 20th St, Phoenix, AZ 85006 (Email: jkpodonu{at}azheart.com).

Repair of thoracic arch aneurysms in the octogenarian is associated with a high morbidity and mortality. In this report we describe a minimally invasive approach to repair and arch aneurysm using an endoluminal graft with an extrathoracic, extra anatomic de-branching of the arch vessels. The advantage of this technique includes avoidance of a median sternotomy, cardiopulmonary bypass, and circulatory arrest with a rapid postoperative recovery.




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[Abstract] [PDF]


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