Operative Cases of the Distal Aortic Arch Aneurysm through Median Sternotomy.
10.4326/jjcvs.28.73
- VernacularTitle:胸骨正中切開到達法による遠位弓部大動脈りゅう手術の検討
- Author:
Hirohisa Goto
;
Hirofumi Nakano
;
Tetsuya Kono
;
Tsuneo Nakajima
;
Tamaki Takano
;
Jun Amano
;
Hideo Tsunemoto
;
Yukio Fukaya
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(2):73-77
- CountryJapan
- Language:Japanese
-
Abstract:
Seven patients underwent surgical repair of the distal aortic arch aneurysm from January 1990 to October 1997. They were 5 men and 2 women ranging from 63 to 78 years of age (mean, 72.7 years). All patients were operated with a median sternotomy only. There was one operative death, which was ruptured case. However, there were no major complications in non-ruptured cases. This retrospective study suggests that it is possible to repair the distal aortic arch aneurysm through a median sternotomy approach alone, when 1) descending aorta originates with normal size just distal to sacciform aneurysm, 2) the maximum diameter of the aneurysm is over 70mm and 3) distal involvement of the aneurysm does not extend beyond the bifurcation of the trachea. It is useful to retract descending aorta proximally by three threads with pledget for distal anastomosis in inclusion technique.
