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- Title
Extended aortic arch repair via simple median sternotomy using a parabronchial approach: A case report.
- Authors
Kowatari, Ryosuke; Sasaki, Hanae; Yamazaki, Shiho; Daitoku, Kazuyuki; Minakawa, Masahito
- Abstract
<bold>Background and Aims: </bold>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.<bold>Materials and Methods: </bold>The patient case data was extracted from hospital records.<bold>Results: </bold>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.<bold>Discussion and Conclusion: </bold>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.
- Publication
Journal of Cardiac Surgery, 2022, Vol 37, Issue 11, p3919
- ISSN
0886-0440
- Publication type
Case Study
- DOI
10.1111/jocs.16905