Journal of cardiac surgery · 2022
Extended aortic arch repair via simple median sternotomy using a parabronchial approach: A case report.
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Kowatari Ryosuke, Sasaki Hanae, Yamazaki Shiho, Daitoku Kazuyuki, Minakawa Masahito
Аннотация
BACKGROUND AND AIMS: Surgery for extensive thoracic aortic aneurysms is challenging. We aim to report our novel extended arch repair method, which we termed "parabronchial approach" for such disease.
MATERIALS AND METHODS: The patient case data was extracted from hospital records.
RESULTS: The patient was the case of a 31-year-old woman with Takayasu's arteritis who developed aortic dissection. She underwent extended arch repair via a simple sternotomy approach. The left pulmonary artery compression with a retractor arrowed us to obtain adequate working space. Postoperative computed tomography revealed a distal anastomosis site level was at the sixth thoracic vertebra.
DISCUSSION AND CONCLUSION: This parabronchial approach could reduce the frequency of choosing a highly invasive approach and can be a potential minimally invasive approach in cases requiring extensive thoracic aortic aneurysm repair.
MATERIALS AND METHODS: The patient case data was extracted from hospital records.
RESULTS: The patient was the case of a 31-year-old woman with Takayasu's arteritis who developed aortic dissection. She underwent extended arch repair via a simple sternotomy approach. The left pulmonary artery compression with a retractor arrowed us to obtain adequate working space. Postoperative computed tomography revealed a distal anastomosis site level was at the sixth thoracic vertebra.
DISCUSSION AND CONCLUSION: This parabronchial approach could reduce the frequency of choosing a highly invasive approach and can be a potential minimally invasive approach in cases requiring extensive thoracic aortic aneurysm repair.