Transthoracic reconstruction of the great vessels using minimally invasive technique.

Direct reconstruction of the great vessels for symptomatic occlusive disease using an intrathoracic approach enables use of the aorta for proximal inflow and may promote long-term patency. Minimally invasive techniques for exposure and reconstruction of the aorta and great vessels are described herein. These techniques have been used successfully in 2 patients who underwent brachiocephalic revascularization. Early primary patency was 100%, and the presenting symptoms were completely resolved. In selected patients with anatomically suitable lesions, these techniques may decrease both hospital stay and operative risk while maintaining the advantage of proximal aortic inflow.