Abordajes

Vasculares
Toraco-
abdominales
Dr. José M. Gallardo
Residente 2° Cirugía
U. Santiago
HRLBO
01.10.2020
Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
 Surgical approaches of aorta: Practical view for
residents. I. Martín-González et al / Cir Cardiov.
2015;22(3):144–151 145
División por segmentos

• Aorta ascendente

• Arco aórtico

• Aorta torácica

• Aorta abdominal
Referencias anatómicas

Surgical approaches of aorta: Practical view for residents. I. Martín-González et al / Cir Cardiov. 2015;22(3):144–151 145
Aorta ascendente y arco aórtico
Esternotomía media

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
• Thoracic and Thoracoabdominal Vascular Exposure. ADAM Z. et al.
Rutherford´s Vascular surgery and Endovascular Therapies. 9° ED,
Chapter 53. pg 653-665
Extensión cervical

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James

Valentine, 3rth Ed. Chapter 3, pg 78-112
Mini esternotomía o esternotomía superior

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
Toracotomía anterolateral: ASC izquierda

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
Toracotomía “Trap door”
1. Toracotomía anterolateral
izquierda
2. Cervicotomía supraclavicular
izquierda
3. Esternotomía superior.

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
Arco aórtico distal y aorta descendente
Toracotomía posterolateral

Vessels of the Chest. Anatomic exposure in vascular surgery. R. James Valentine, 3rth Ed. Chapter 3, pg 78-112
Chevron: Toracotomía transesternal bilateral
Aorta toracoabdominal
• Thoracic and Thoracoabdominal Vascular Exposure. ADAM Z. et al. Rutherford´s Vascular surgery and Endovascular Therapies. 9° ED, Chapter 53. pg 653-665
Abordaje transtorácico transperitoneal

Upper Abdominal Aorta, Including the Visceral and supraceliac Segments. Anatomic exposure in vascular
surgery. R. James Valentine, 3rth Ed. Chapter 9, pg 236-272
Rotación visceral medial izquierda

Surgical approaches of aorta: Practical view for residents. I. Martín-González et al / Cir Cardiov.
2015;22(3):144–151 145
Abordaje retroperitoneal

Upper Abdominal Aorta, Including the Visceral and supraceliac Segments. Anatomic exposure in vascular
surgery. R. James Valentine, 3rth Ed. Chapter 9, pg 236-272
Thoracic and Thoracoabdominal Vascular Exposure. ADAM Z. et al. Rutherford´s Vascular surgery and Endovascular Therapies. 9° ED, Chapter
53. pg 653-665
Resumen

Surgical approaches of aorta: Practical view for residents. I. Martín-González et al / Cir Cardiov. 2015;22(3):144–151 145