Right minithoracotomy as an alternative approach for endovascular repair of thoracic aortic aneurysm

tion. The arch was reconstructed by sewing the lateral free edges of the divided ductus to the divided native aortic arch. Continuity was then restored with the main pulmonary artery and proximal aorta (Figure 1, F). The branch pulmonary artery bands were removed, and the branches were dilated. Continuity was restored by folding the pulmonary artery button and sewing the anterior free edges together. A bidirectional cavopulmonary shunt was constructed. The patient’s postoperative course was unremarkable, and he was discharged on postoperative day 9. After 1 month, the postoperative echocardiogram demonstrated an unobstructed reconstructed aortic arch.