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Published on: March 28, 2025
Right anterolateral thoracotomy with partial sternotomy for chronic type B aortic dissection with right aortic arch
Keiichiro Kasama1,2, Yasuko Uranaka1, Hiroto Tomita1
1Department of Cardiovascular surgery, 13661Yokohama municipal citizens hospital, Yokohama, Japan.
Abstract:
Chronic type B aortic dissection with the right aortic arch was rare. We present the case of a 59-year-old man with a right aortic arch and chronic type B aortic dissection, with a maximum size of 80 mm. Graft replacement was successfully performed through right anterolateral thoracotomy with partial sternotomy through the fourth intercostal space. The patient's postoperative course was uneventful. He had no paralysis and was extubated on postoperative day 2 and discharged from the hospital on postoperative day 15. Anterolateral thoracotomy with partial sternotomy could be a suitable approach for right-sided aortic aneurysms.
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