Pull-through technique for entire thoracic aortic dissection without additional left thoracotomy

Kiyoshi Koizumi, Toshihiko Ueda, Hideyuki Shimizu, Ryohei Yozu

Research output: Contribution to journalArticlepeer-review


Urgent single-staged replacement of the aortic dissection involving the entire thoracic aorta was performed by using the modified pullthrough technique via median sternotomy. Distal anastomosis was achieved via posterior pericardium to avoid the lateral thoracotomy and then the graft was pulled through the false lumen of the descending aorta into the aortic arch. Each lumen between proximal and distal anastomosis was closed for hemostasis. The aortic arch was replaced with a four-branched graft. Postoperative course was uneventful. This procedure might be an alternative in selected patients to the left thoracotomy.

Original languageEnglish
Pages (from-to)339-340
Number of pages2
JournalInteractive cardiovascular and thoracic surgery
Issue number2
Publication statusPublished - 2011 Feb


  • Aortic dissection
  • Pull-through technique
  • Thoracic aorta

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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