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Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report
Joon Young Kim1, Hong Rae Kim1, Joon Bum Kim1
1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
Insights
Extensive thoracic aortic disease can be challenging. This study presents a single-stage surgical replacement of the aortic arch and descending aorta, offering a potential solution for complex cases.
Area of Science:
- Cardiovascular Surgery
- Thoracic Aortic Disease Management
Background:
- Extensive thoracic aortic aneurysms often necessitate multiple interventions.
- This approach carries risks of cumulative surgical trauma and mortality.
Observation:
- A patient with multiple comorbidities presented with an extensive thoracic aortic aneurysm.
Findings:
- A successful single-stage replacement of the aortic arch and descending thoracic aorta was performed via sternotomy.
Implications:
- This single-stage procedure may offer a less burdensome alternative for managing extensive thoracic aortic disease.
- It highlights a viable surgical option for complex aortic aneurysms in high-risk patients.
Abstract:
Extensive thoracic aortic disease involving the ascending aorta, the aortic arch, and the descending thoracic aorta may require multiple surgical and interventional managements, which impose a burden in terms of cumulative surgical trauma and the risk of interval mortality. Herein, we describe a single-stage arch and descending thoracic aorta replacement via sternotomy in a patient with multiple comorbidities presenting with an extensive thoracic aortic aneurysm.
