Antero-Lateral Thoracotomy with Partial Sternotomy for Retrograde DeBakey III Type Closing Aortic Dissection
10.4326/jjcvs.35.21
- VernacularTitle:偽腔閉塞型逆行性ＩＩＩ型解離手術に有用であった左前側方開胸・胸骨下部部分切開法
- Author:
Masafumi Sueshiro
;
Saiho Hayashi
;
Hironori Kobayashi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(1):21-24
- CountryJapan
- Language:Japanese
-
Abstract:
We report 2 cases of retrograde DeBakey III type (Stanford A type) closing aortic dissection in a state of shock. At the preoperative assessment, we could not confirm the region of entry in either of them. Consequently, to close the entry, we decided to perform antero-lateral thoracotomy with partial sternotomy (ALPS) and good results were obtained. This method has 3 advantages. 1) The wide field of view enables visualization from the ascending to the descending aorta. 2) Because of the good field of view, we are able to suture without difficulty and minimize the volume of bleeding. 3) We can minimize influence on the lung because the upper sternum is not incised, thus we can handle the lung gently while performing the planned incision.
