Mai. Sarsam, Repair of descending thoracic aortic dissection or aneurysm combined with repair of the proximal aorta via median sternotomy, J CARDIAC S, 13(1), 1998, pp. 37-42
A single-stage procedure for repair of the whole thoracic aorta via median
sternotomy is described. The procedure is based on exposure of the descendi
ng aorta, posterior to the pericardium in the oblique sinus, or exposure of
the aorta in the supracoeliac region and the placement of an endoprosthesi
s as an intraluminal graft. The ascending aorta and arch repair can be carr
ied out as usual. The procedure has been performed in five patients with ei
ther dissection or aneurysm in the period between 1992 and 1997.