Eros？o esternal por aneurisma da aorta. Qual o melhor acesso?

the case of a patient presenting sternum erosion provoked by aneurysm of the ascending aorta and proximal hemi-arch of syphilitic etiology is described, the surgical approach was bilateral thoracotomy, using deep hypothermia and total circulatory arrest. a bovine pericardium patch was anchored for reapair of the ascending aorta and proximal aortic hemi-arch and another patch placed between the brachiocephalic trunk and the lateral wall of the bovine pericardium patch. the anterior interventricular artery was revascularized orving to occlusion of the ostium of the left coronary artery. three years after surgery the patient is asymptomatic.