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Doble Toracotomía de Incisión Única para Reparación Abierta de Aneurisma Aórtico Toracoabdominal: Reporte de Caso y

Jose I Ortiz De Elguea-Lizarraga¹, Benjamin Mason², Junji Tsukagoshi¹

¹Division of Vascular Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Annals of thoracic surgery short reports

|December 22, 2025

Abstract:

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.

Palabras clave:

Doble toracotomía de incisión única Reparación de aneurisma aórtico toracoabdominal Síndrome de Loeys-Dietz Cirugía cardiovascular Cirugía torácica

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