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  • Title: Off-pump ascending to descending aorta bypass grafting with descending aneurysm exclusion.
    Author: Kunihara T, Shiiya N, Oh-oka T, Yasuda K.
    Journal: Thorac Cardiovasc Surg; 2004 Dec; 52(6):374-5. PubMed ID: 15573280.
    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.
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