Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report

  • Kim, Joon Young (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine) ;
  • Kim, Hong Rae (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine) ;
  • Kim, Joon Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine)
  • Received : 2020.12.08
  • Accepted : 2021.02.09
  • Published : 2021.12.05
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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.

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References

  1. Damberg A, Schalte G, Autschbach R, Hoffman A. Safety and pitfalls in frozen elephant trunk implantation. Ann Cardiothorac Surg 2013;2:669-76. https://doi.org/10.3978/j.issn.2225-319X.2013.09.16
  2. Vijayanagar R, Natarajan P, Eckstein PF, Bognolo DA, Toole JC. Aortic valvular insufficiency and postductal aortic coarctation in the adult: combined surgical management through median sternotomy: a new surgical approach. J Thorac Cardiovasc Surg 1980;79:266-8. https://doi.org/10.1016/S0022-5223(19)37983-8
  3. Laas J, Jurmann MJ, Heinemann M, Borst HG. Advances in aortic arch surgery. Ann Thorac Surg 1992;53:227-32. https://doi.org/10.1016/0003-4975(92)91323-2
  4. Svensson LG. Rationale and technique for replacement of the ascending aorta, arch, and distal aorta using a modified elephant trunk procedure. J Card Surg 1992;7:301-12. https://doi.org/10.1111/j.1540-8191.1992.tb01020.x
  5. Dake MD, Miller DC, Mitchell RS, Semba CP, Moore KA, Sakai T. The "first generation" of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg 1998;116:689-704. https://doi.org/10.1016/S0022-5223(98)00455-3
  6. Luehr M, Bachet J, Mohr FW, Etz CD. Modern temperature management in aortic arch surgery: the dilemma of moderate hypothermia. Eur J Cardiothorac Surg 2014;45:27-39. https://doi.org/10.1093/ejcts/ezt154