Document Detail


Left antero-axillary thoracotomy as an alternative approach for aortic arch reconstruction.
MedLine Citation:
PMID:  10358946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Antero-axillary thoracotomy--a new approach for the reconstruction of the aortic arch--provides a wide view of the arch and makes accessible the superior vena cava for retrograde cerebral perfusion as well as the coronary sinus for retrograde infusion of cardioplegia. This procedure has been used over 22 months for 26 patients with aortic arch aneurysm or aortic dissection, and the surgical results were evaluated. The distal arch was replaced in 16 patients, the total arch in 9 patients, and the proximal arch in 1 patient, using this technique. The mean duration of deep hypothermic circulatory arrest was 38 min, and the hospital mortality was 15.4%. Antero-axillary thoracotomy may be an excellent approach for the reconstruction of the aortic arch, minimizing the duration of hypothermic circulatory arrest.
Authors:
S Sasaguri; T Fukuda; I Hayashi; T Yamamoto; S Yamamoto; Y Hosoda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  47     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-07-06     Completed Date:  1999-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  158-62     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Juntendo University, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / surgery
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery
Female
Humans
Male
Middle Aged
Reconstructive Surgical Procedures
Thoracotomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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