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Extended aortic arch repair via simple median sternotomy using a parabronchial approach: a case report
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  • Ryosuke Kowatari,
  • Hanae Sasaki,
  • Shiho YamazakiMD,
  • Kazuyuki Daitoku,
  • Masahito Minakawa
Ryosuke Kowatari
Hirosaki Daigaku
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Hanae Sasaki
Hirosaki Daigaku
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Shiho YamazakiMD
Hirosaki Daigaku
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Kazuyuki Daitoku
Hirosaki Daigaku
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Masahito Minakawa
Hirosaki Daigaku
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Abstract

Surgery for extensive thoracic aortic aneurysms is challenging. We report the case of a young woman with Takayasu’s arteritis who developed aortic dissection and was successfully treated with our novel extended arch repair method, which we termed “parabronchial approach”. Surgery was performed via a simple sternotomy. The left pulmonary artery was compressed caudally by a surgical assistant arm typically used for coronary artery bypass grafting. This method simplified the creation of a distal anastomosis to the descending aorta behind the left bronchus. Postoperative computed tomography revealed a distal anastomosis at the sixth thoracic vertebra . This parabronchial approach could reduce the frequency of choosing a highly invasive approach and can be a potential minimally invasive approach in cases requiring extensive thoracic aortic aneurysm repair.