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[Total aortic arch replacement through a median approach].
H Kasegawa1, S Uemura, Y Harada
1Division of Cardiovascular Surgery, Chiba Kaihin Hospital.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|September 1, 1992
Summary
This study shows that total aortic arch replacement using a median approach is a safe surgical option. This technique offers an acceptably low operative risk for patients needing aortic arch repair.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Context:
- Aortic arch pathologies require complex surgical interventions.
- Median sternotomy is a common surgical approach for thoracic procedures.
Purpose:
- To evaluate the safety and efficacy of total aortic arch replacement via a median sternotomy approach.
- To assess the operative risk associated with this surgical technique.
Summary:
- Seven patients underwent total aortic arch replacement using a median approach with Dacron grafts.
- Distal anastomosis was achieved via open technique with lower body circulatory arrest or balloon occlusion.
- Arch vessel anastomosis was performed after coronary reperfusion, with no early operative deaths.
Impact:
- Demonstrates the feasibility of total aortic arch replacement through a median approach.
- Suggests a low operative risk profile for this surgical strategy.
- Provides evidence for surgeons considering median sternotomy for aortic arch reconstruction.