A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy Yuji Kawano, MD, Minoru Tabata, MD, MPH,

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A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy Yuji Kawano, MD, Minoru Tabata, MD, MPH, Daisuke Nakatsuka, MD, Nobuhiko Hiraiwa, MD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e147-e149 (August 2016) DOI: 10.1016/j.athoracsur.2016.01.047 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative transesophageal echocardiographic view showing type A aortic dissection. The Annals of Thoracic Surgery 2016 102, e147-e149DOI: (10.1016/j.athoracsur.2016.01.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Surgeon’s views of ascending aorta and aortic root through a left thoracotomy. (A) Ascending aorta and aortic root are poorly visualized. (B) Ascending aorta and aortic root are well visualized after transection and retraction of the pulmonary trunk. The Annals of Thoracic Surgery 2016 102, e147-e149DOI: (10.1016/j.athoracsur.2016.01.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative computed tomographic view showing replacement of ascending and descending aorta with prosthetic grafts. The Annals of Thoracic Surgery 2016 102, e147-e149DOI: (10.1016/j.athoracsur.2016.01.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions