New Approach for Extended Thoracic Aortic Repair : Anterolateral Thoracotomy with Partial Sternotomy
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概要
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Purpose: We have introduced a new surgical approach for extended thoracic aortic repair, anterolateral thoracotomy with partial sternotomy (ALPS).Description: The surgical approach to the chest was made via left anterolateral thoracotomy and lower median sternotomy through the third or fourth intercostal space. All cannulations (arterial, venous, venting, and cardioplegia) could be easily performed using a retractor in this approach. Evaluation: From November 2005 to December 2010, we performed surgical treatment in 12 patients by employing the ALPS approach for a complex, extended thoracic aortic diseases with different pathologies, i.e., arteriosclerotic aneurysms in 5, acute type B dissection in 5, and chronic type B dissection in 2 patients. One patient died in the hospital, and 1 had temporary spinal cord injury.Conclusion: The ALPS approach might become an alternative for a complex, extended thoracic aortic replacement.
- 2012-08-01
著者
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Sueda Taijiro
Department Of Cardiovascular Surgery Hiroshima University Graduate School Of Medicine
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Katayama Akira
Department Of Aquatic Bioscience Graduate School Of Agricultural And Life Sciences University Of Tok
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Sutoh Miwa
Department Of Cardiovascular Surgery Hiroshima Asa General Hospital
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Tamura Kentaro
Department Of Biology Graduate School Of Natural Science Konan University
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Uchida Naomichi
Department Of Cardiovascular Surgery Hiroshima Asa General Hospital
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TAMURA Kentaro
Department of Cardiovascular Surgery, Hiroshima City Asa General Hospital
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KURAOKA Masatsugu
Department of Cardiovascular Surgery, Hiroshima City Asa General Hospital
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SUEDA Taijiro
Department of Surgery, Hiroshima University
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KATAYAMA Akira
Department of Cardiovascular Surgery, Hiroshima City Asa General Hospital
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UCHIDA Naomichi
Department of Surgery, Hiroshima University
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Katayama Akira
Department of Applied Chemistry, College of Engineering, University of Osaka Prefecture
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