Abstract
Spiral incision of the thoracic wall through the 5th or 6th intercostal space has been a standard approach for thoracoabdominal and descending aorta replacement (Interact Cardiovasc Thorac Surg 18:278–282, 2014). The exposure of the proximal lesion, however, is often insufficient for patients with a flat chest. In this connection, Asian patients tend to have a narrower chest cavity and the flat chest is frequently seen in Marfan syndrome patients. A novel straight incision with rib-cross approach was applied for such a patient with a narrow or flat chest to make aortic repair easier and safer. We herein present a case of a 37-year-old male diagnosed with extensive aortic aneurysm associated with chronic aortic dissection, who underwent one-stage repair of the aortic arch and thoracoabdominal aortic aneurysm via a novel surgical incision.
References
Sun XG, Zhang L, Yu CT, Qian XY, Chang Q. One-stage repair of extensive aortic aneurysms: mid-term results with total or subtotal aortic replacement. Interact Cardiovasc Thorac Surg. 2014;18:278–82.
Ishikawa N, Omoto T, Ono M, Miyauchi T, Oi M, Murata K, et al. Antero-lateral partial sternotomy for extensive thoracic aortic aneurysm. Interact Cardiovasc Thorac Surg. 2013;16:327–31.
Tsukube T, Yoshimura M, Matsuda H, Okada K, Matsukawa R, Okita Y, et al. Rib-cross thoracotomy for replacement of the thoracoabdominal or total descending aorta. J Vasc Surg. 2003;37:219–21.
Yoshioka K, Tanaka R, Kameda T, Naganuma Y. Three-dimensional demonstration of the collateral circulation to the artery of Adamkiewicz via the thoracodorsal and inferior phrenic arteries. Eur J Cardiothorac Surg. 2011;39:137.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have declared that no conflict of interest exists.
Rights and permissions
About this article
Cite this article
Inoue, Y., Minatoya, K., Oda, T. et al. Novel surgical incision for treatment of extensive aortic aneurysm: a case of straight incision with rib-cross (SIRC) approach. Gen Thorac Cardiovasc Surg 64, 55–57 (2016). https://doi.org/10.1007/s11748-015-0596-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-015-0596-x