Document Detail

An alternative method for reconstructing the distal aortic arch through median sternotomy via the pleural window.
MedLine Citation:
PMID:  22345063     Owner:  NLM     Status:  MEDLINE    
We describe an alternative technique through median sternotomy to perform total arch replacement for an extended distal arch aneurysm. After initiating cardiopulmonary bypass, the left pleura is opened widely from the aortic arch to the diaphragm and the left lung is mobilized to the right side with the heart. The descending aorta is visible through the window of the pleural incision. This technique provides excellent exposure, facilitating aneurysm resection, control of the descending aorta and successful completion of the distal anastomosis. In our experience of 26 cases who had distal aortic arch aneurysm with downstream extension, total arch replacement was achieved through a median sternotomy without the need for left anterolateral thoracotomy. This procedure reduced perioperative bleeding and resulted in satisfactory clinical outcomes.
Shogo Mukai; Shogo Obata; Hironobu Morimoto; Naomichi Uchida
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Publication Detail:
Type:  Journal Article     Date:  2012-02-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-18     Completed Date:  2012-08-02     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  526-8     Citation Subset:  IM    
Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Japan.
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MeSH Terms
Aged, 80 and over
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / mortality,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects,  methods*,  mortality
Cardiopulmonary Bypass
Hospital Mortality
Middle Aged
Pleura / surgery*
Postoperative Complications / etiology,  mortality
Sternotomy* / adverse effects,  mortality
Time Factors
Treatment Outcome

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

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