Single-Incision Double Thoracotomy for Open Thoracoabdominal Aortic Aneurysm Repair: Case Report and New Technique

Open thoracoabdominal aortic aneurysm (TAAA) repair remains the gold standard for patients with connective tissue disorders. Traditionally, repair of these aneurysms is conducted through a single thoracotomy often requiring rib resection or excessive retraction and resulting in postoperative pain and complications. This report presents the case of a 47-year-old woman with Loeys-Dietz syndrome who required an extent V TAAA repair. A single-incision double-thoracotomy approach was performed. This technique is believed to improve outcomes with less postoperative pain and to provide better exposure with a more expeditious procedure overall.