Extended aortic arch repair via simple median sternotomy using a parabronchial approach: A case report.

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.