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The Journal of Cardiovascular Surgery 2003 December;44(6):737-40

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Combined minimally invasive procedure for descending thoracic aortic aneurysm with left main coronary artery diseas

Shimizu T. 1, Kawaguchi S. 1, Shimazaki T. 1, Yokoi Y. 1, Ito S. 1, Watanabe Y. 1, Ikeda K. 1, Hirayama T. 1, Watanabe G. 2, Ishimaru S. 1

1 Department of Surgery II Tokyo Medical University, Tokyo, Japan 2 Department of Surgery, Kanazawa University School of Medicine, Kanazawa, Japan


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A 78-year-old man had a descending thoracic aortic aneurysm with left main coronary artery disease. Combined beating heart coronary artery bypass and endovascular thoracic aortic aneurysm repair was performed without cardiopulmonary bypass. The left anterior descending artery and the obtuse marginal branch of the left circumflex artery were revascularized through a left antero-lateral small thoracotomy. The aneurysm was excluded with stent grafts through a small femoral incision. This combined less invasive procedure is a promising approach providing better surgical results in patients with thoracic aortic aneurysm and severe coronary artery disease.

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