TY - JOUR
T1 - Upper thoracoabdominal aortic repair through partial posterior incision of the diaphragm via left thoracotomy
AU - Ito, Hideki
AU - Mutsuga, Masato
AU - Tokuda, Yoshiyuki
AU - Usui, Akihiko
N1 - Publisher Copyright:
© 2020, The Japanese Association for Thoracic Surgery.
PY - 2020/12
Y1 - 2020/12
N2 - During surgical repair of a thoracoabdominal aortic aneurysm, division of the diaphragm should be minimized to avoid pulmonary complications. We herein describe a modified exposure technique that avoids ordinary circumferential division of the diaphragm. The diaphragm was detached from the aneurysm at the level of the aortic hiatus via a modified anterior lateral thoracotomy incision through the pleural space. The diaphragmatic incision around the aneurysm was extended posteriorly. This partial division of the diaphragm provided sufficient exposure of the distal anastomosis site for thoracoabdominal aneurysms that do not extend below the upper part of the abdomen.
AB - During surgical repair of a thoracoabdominal aortic aneurysm, division of the diaphragm should be minimized to avoid pulmonary complications. We herein describe a modified exposure technique that avoids ordinary circumferential division of the diaphragm. The diaphragm was detached from the aneurysm at the level of the aortic hiatus via a modified anterior lateral thoracotomy incision through the pleural space. The diaphragmatic incision around the aneurysm was extended posteriorly. This partial division of the diaphragm provided sufficient exposure of the distal anastomosis site for thoracoabdominal aneurysms that do not extend below the upper part of the abdomen.
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U2 - 10.1007/s11748-020-01387-2
DO - 10.1007/s11748-020-01387-2
M3 - Article
C2 - 32436067
AN - SCOPUS:85084992273
VL - 68
SP - 1594
EP - 1595
JO - General Thoracic and Cardiovascular Surgery
JF - General Thoracic and Cardiovascular Surgery
SN - 1863-6705
IS - 12
ER -