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Fig. 3 | Journal of Cardiothoracic Surgery

Fig. 3

From: Multifaceted surgical approach of combined thoracoretroperitoneal incision and midline abdominal incision for a secondary aortoenteric fistula

Fig. 3

Intraoperative photo. A In a right lateral decubitus position, a left seventh intercostal thoracotomy and a retroperitoneal approach were performed. Thoracoabdominal aortic replacement was performed using a graft bonded with rifampicin.　 The lumen of the anastomosis of the pseudoaneurysm was confirmed (white arrow). B In a supine position and midline abdominal incision, the retroperitoneal perforation (white arrow) and an 8-mm pinhole fistula in the duodenum (yellow arrow) were confirmed. C The new artificial vessel was found inside the retroperitoneal perforation

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Journal of Cardiothoracic Surgery

ISSN: 1749-8090

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