Total aortic replacement is preferably preformed by staged operations,
and reports of a simultaneous operation are few. In these reports, bo
th a median sternotomy and a thoracoabdominal incision are employed. W
e report a patient who successfully underwent simultaneous total aorti
c replacement without a sternotomy incision. The technique and the fea
sibility of the operation are discussed. (C) 1998 by The Society of Th
oracic Surgeons.