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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

Corresponding Author:[email protected]

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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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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.
14 May 2022Submitted to Journal of Cardiac Surgery
14 May 2022Submission Checks Completed
14 May 2022Assigned to Editor
25 May 2022Reviewer(s) Assigned
05 Jul 2022Review(s) Completed, Editorial Evaluation Pending
05 Jul 2022Editorial Decision: Revise Minor
13 Jul 20221st Revision Received
13 Jul 2022Submission Checks Completed
13 Jul 2022Assigned to Editor
13 Jul 2022Reviewer(s) Assigned
01 Aug 2022Review(s) Completed, Editorial Evaluation Pending
02 Aug 2022Editorial Decision: Accept