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Updated: Jun 13, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Surgical management of middle aortic syndrome in the elderly
Chika Cho1, Raphael Coscas, Fabien Koskas
1Department of Vascular Surgery, Pitié-Salpétriêre University Hospital, Assistance-Publique Hôpitaux de Paris, Paris, France. cmilleka@yahoo.co.jp
Abstract:
Coarctation of the distal thoracic aorta and/or the abdominal aorta, namely "middle aortic syndrome" (MAS), is a rare congenital cardiovascular defect with the potential for serious ischemic complications. Diagnosis is usually made during childhood or in young adulthood; therefore, the surgical management of MAS in an elderly patient is exceptional. We report the surgical repair of a MAS in a 65-year-old woman with life-threatening renal and mesenteric ischemia. Using the ascending aorta as bypass inflow, a thoracoabdominal bypass with reimplantation of the visceral vessels was performed through sterno-laparotomy with good result. Therapeutic and technical issues are discussed.
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