Document Detail

Pull-through technique for entire thoracic aortic dissection without additional left thoracotomy.
MedLine Citation:
PMID:  21057145     Owner:  NLM     Status:  In-Data-Review    
Urgent single-staged replacement of the aortic dissection involving the entire thoracic aorta was performed by using the modified pull-through technique via median sternotomy. Distal anastomosis was achieved via posterior pericardium to avoid the lateral thoracotomy and then the graft was pulled through the false lumen of the descending aorta into the aortic arch. Each lumen between proximal and distal anastomosis was closed for hemostasis. The aortic arch was replaced with a four-branched graft. Postoperative course was uneventful. This procedure might be an alternative in selected patients to the left thoracotomy.
Kiyoshi Koizumi; Toshihiko Ueda; Hideyuki Shimizu; Ryohei Yozu
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Publication Detail:
Type:  Journal Article     Date:  2010-11-07
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  12     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  339-40     Citation Subset:  IM    
Division of Cardiovascular Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
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