Redo Left Thoracotomy for Surgical Repair on the Descending Thoracic and Thoracoabdominal Aorta
Objectives: Redo left thoracotomy for surgical repair on the descending thoracic and thoracoabdominal aorta is often surgical challenge. We retrospectively analyzed the outcome of the redo left thoracotomy for descending thoracic and thoracoabdominal aortic repair.
Methods: Since 2000, 25 patients underwent redo left thoracotomy for graft replacement of descending thoracic and thoracoabdominal aorta (mean age 61±13, 17 male). Thoracoabdominal aortic replacement was performed in 18 patients, and descending aortic replacement was performed in 7. There was one emergency case (4.0%). Six patients were Marfan syndrome. All operations were performed under partial cardiopulmonary bypass with segmental clamping. Preoperative MR angiography has been performed to detect Adamkiewicz artery for elective cases. Motor evoked potential has been measured to detect spinal ischemia.