A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy.

Kawano, Yuji; Tabata, Minoru; Nakatsuka, Daisuke; Hiraiwa, Nobuhiko · Ann Thorac Surg · 2016

case_report · Level V

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Abstract

We observed a case of intraoperative type A dissection during open descending and thoracoabdominal aortic replacement. It is difficult to obtain optimal access to the ascending aorta and aortic root through a left thoracotomy. Transection of the pulmonary trunk provided excellent exposure of the ascending aorta and aortic root, and we successfully managed this devastating adverse event.

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