DOI QR코드

DOI QR Code

Extended Aortic Arch Replacement Through the L-Incision Approach

  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Eulji University School of Medicine) ;
  • Hwang, Jung-Joo (Department of Thoracic and Cardiovascular Surgery, Eulji University School of Medicine) ;
  • Cho, Hyun-Min (Department of Thoracic and Cardiovascular Surgery, Konyang University College of Medicine) ;
  • Lee, Tae-Yeon (Department of Thoracic and Cardiovascular Surgery, Konyang University College of Medicine)
  • Received : 2012.09.03
  • Accepted : 2012.11.14
  • Published : 2013.06.05

Abstract

There are various methods for approaching the aortic arch, such as median sternotomy or lateral thoracotomy. However, accessing the site of distal anastomosis is problematic when the distal arch is extensively involved. We report a case of extended aortic arch replacement and coronary artery bypass through the L-incision approach.

Keywords

References

  1. Sasaguri S, Yamamoto S, Fukuda T, Hosoda Y. Retrograde cerebral perfusion through antero-axillary thoracotomy in the aortic arch surgery. Eur J Cardiothorac Surg 1997;11: 657-60. https://doi.org/10.1016/S1010-7940(96)01135-9
  2. Imazeki T, Yamada T, Irie Y, Katayama Y, Kiyama H. Trapdoor thoracotomy as a surgical approach for aortic arch aneurysm. Ann Thorac Surg 1998;66:272-4. https://doi.org/10.1016/S0003-4975(98)00408-1
  3. Borst HG, Heinemann MK, Stone CD. Surgical treatment of aortic dissection. New York: Churchill Livingstone International; 1996.
  4. Svensson LG, Crawford ES. Cardiovascular and vascular disease of the aorta. Philadelphia: WB Saunders; 1997.
  5. Kouchoukos NT. One-stage repair of extensive thoracic aortic disease. J Thorac Cardiovasc Surg 2010;140(6 Suppl): S150-3. https://doi.org/10.1016/j.jtcvs.2010.07.035
  6. Choi JH, Park KH, Jun TG, Lee YT, Park PW. Single stage replacement of entire thoracic aorta for chronic aortic dissection. Korean Thorac Cardiovasc Surg 2001;34:865-9.
  7. Tominaga R, Kurisu K, Ochiai Y, et al. Total aortic arch replacement through the L-incision approach. Ann Thorac Surg 2003;75:121-5. https://doi.org/10.1016/S0003-4975(02)04300-X