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Modified Muscle-Sparing High Approach to the Thoracoabdominal Aorta

National Research Center of Surgery, Moscow, Russia

Dmitri D Savichev, MD, Tel: +7 499 248 1015, Fax: +7 499 2468988, Email: 7332326{at}mail.ru, Department for Surgery of the Aorta and its Branches. 2 Abrikosovsky per., Moscow, 119992, Russia.

A modified muscle-sparing high approach to the thoracoabdominal aorta is described, which improves surgical access for thoracoabdominal aortic aneurysm repair. Since 2000, 16 patients with type I and II thoracoabdominal aortic aneurysms have undergone aortic graft replacement using this approach via the 3^rd intercostal space. There were no hospital deaths. Three (18.8%) patients had severe postoperative pain requiring prolonged analgesia. This approach is a good alternative to the standard approach via the 6^th intercostal space.

Key Words: Aortic Aneurysm • Abdominal • Aortic Aneurysm • Thoracic • Blood Vessel Prosthesis Implantation • Thoracotomy

Asian Cardiovasc Thorac Ann 2009; 17:86-88
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102512