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Upper thoracoabdominal aortic repair through partial posterior incision of the diaphragm via left thoracotomy

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Abstract

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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References

  1. Coselli JS, LeMaire SA, Preventza O, de la Cruz KI, Cooley DA, Price MD, et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg. 2016;151:1323–37.

    Article  Google Scholar 

  2. Black JH 3rd. Technique for repair of suprarenal and thoracoabdominal aortic aneurysms. J Vasc Surg. 2009;50:936–41.

    Article  Google Scholar 

  3. Stickley SM, Giglia JS. Novel use of a gastrointestinal stapler for diaphragm division during thoracoabdominal aortic exposure. Ann Vasc Surg. 2013;27:689–91.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Syowa-ku, Nagoya, Aichi, 466-8560, Japan

    Hideki Ito, Masato Mutsuga, Yoshiyuki Tokuda & Akihiko Usui

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  1. Hideki Ito
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  2. Masato Mutsuga
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  3. Yoshiyuki Tokuda
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  4. Akihiko Usui
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Correspondence to Hideki Ito.

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Ito, H., Mutsuga, M., Tokuda, Y. et al. Upper thoracoabdominal aortic repair through partial posterior incision of the diaphragm via left thoracotomy. Gen Thorac Cardiovasc Surg 68, 1594–1595 (2020). https://doi.org/10.1007/s11748-020-01387-2

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  • DOI: https://doi.org/10.1007/s11748-020-01387-2

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