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Войти в исследования Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2012
New approach for extended thoracic aortic repair: anterolateral thoracotomy with partial sternotomy.
СтатьяНазвание и аннотация: Перевод в очереди
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Uchida Naomichi, Katayama Akira, Tamura Kentaro, Sutoh Miwa, Kuraoka Masatsugu, Sueda Taijiro
Аннотация
PURPOSE: We have introduced a new surgical approach for extended thoracic aortic repair, anterolateral thoracotomy with partial sternotomy (ALPS).
DESCRIPTION: The surgical approach to the chest was made via left anterolateral thoracotomy and lower median sternotomy through the third or fourth intercostal space. All cannulations (arterial, venous, venting, and cardioplegia) could be easily performed using a retractor in this approach.
EVALUATION: From November 2005 to December 2010, we performed surgical treatment in 12 patients by employing the ALPS approach for a complex, extended thoracic aortic diseases with different pathologies, i.e., arteriosclerotic aneurysms in 5, acute type B dissection in 5, and chronic type B dissection in 2 patients. One patient died in the hospital, and 1 had temporary spinal cord injury.
CONCLUSION: The ALPS approach might become an alternative for a complex, extended thoracic aortic replacement.
DESCRIPTION: The surgical approach to the chest was made via left anterolateral thoracotomy and lower median sternotomy through the third or fourth intercostal space. All cannulations (arterial, venous, venting, and cardioplegia) could be easily performed using a retractor in this approach.
EVALUATION: From November 2005 to December 2010, we performed surgical treatment in 12 patients by employing the ALPS approach for a complex, extended thoracic aortic diseases with different pathologies, i.e., arteriosclerotic aneurysms in 5, acute type B dissection in 5, and chronic type B dissection in 2 patients. One patient died in the hospital, and 1 had temporary spinal cord injury.
CONCLUSION: The ALPS approach might become an alternative for a complex, extended thoracic aortic replacement.