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Eur J Cardiothorac Surg 2002;21:97-99
© 2002 Elsevier Science NL

Case report

Ascending aortic replacement through right thoracotomy

Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan

Received 24 July 2001; received in revised form 24 September 2001; accepted 25 September 2001.

* Corresponding author. Tel.: +81-22-717-7222; fax: +81-22-717-7227
e-mail: paq{at}mva.biglobe.ne.jp
e-mail: naotaka5{at}hotmail.com

A 62-year-old woman with a history of esophageal resection and colon interposition with anterosternal subcutaneous tunnel required replacement of the ascending aorta due to dissecting aortic aneurysm. Preoperative three-dimensional computed tomography enabled us to reveal that right thoracotomy could offer an ascending aortic operation. The patient underwent successful operation under hypothermic circulatory arrest and the right anterolateral thoracotomy provided safe exposure of the diseased ascending aorta even when the suprasternal tunnel precluded conventional median sternotomy.

Key Words: Right thoracotomy • Ascending aortic aneurysm • Three-dimensional computed tomography