Off-Pump Ascending to Descending Aorta Bypass Grafting with Descending Aneurysm Exclusion

Abstract

We performed an ascending to descending aorta bypass grafting with exclusion of the descending thoracic aortic aneurysm through a median sternotomy incision without cardiopulmonary bypass in a patient with severe chronic obstructive pulmonary disease. The patient was a 75-year-old man who had undergone endovascular stent-graft placement for a descending thoracic aortic aneurysm. The operation became necessary because the aneurysm continued to expand without evidence of endoleak. The postoperative course was uneventful, and without respiratory morbidity.

Aneurysm - descending thoracic aorta - beating heart - off-pump - extra-anatomical bypass

References

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