Mini-access open arch repair.

ABSTRACT:

Background

The use of minimally invasive approaches is scarce in open aortic arch repair because of its perceived high operative risk and technical difficulty.

Methods

This study enrolled 59 consecutive patients (aged 58.2±13.2 years) undergoing elective arch replacement either through upper hemi-sternotomy (n=58) or mini-thoracotomy (n=1) between 2015 and 2020. Of these, 44 underwent hemiarch replacement and 15 underwent total arch replacement. Moderate hypothermic circulatory arrest was used for all patients while antegrade cerebral perfusion was selectively used for total arch repair. For more efficient distal aortic anastomosis in limited spaces, inverted graft anastomosis was utilized whenever possible.

Results

Hemi-sternotomy involved upper sternal separation do

SUBMITTER: Kim SA 

PROVIDER: S-EPMC8107538 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature