Mini open stent grafting with half sternotomy for aortic arch aneurysm.
Half sternotomy
Minimally invasive cardiac surgery
Open stent
Journal
Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113
Informations de publication
Date de publication:
06 Jun 2019
06 Jun 2019
Historique:
received:
07
08
2018
accepted:
28
05
2019
entrez:
8
6
2019
pubmed:
7
6
2019
medline:
23
8
2019
Statut:
epublish
Résumé
Open stent grafting is an alternative of graft replacement and thoracic endovascular aortic repair for aortic arch aneurysm. We have performed open stent grafting with half sternotomy (mini-OSG) to reduce in-hospital stay and recovery time of patients and herein report seven cases of mini-OSG for aortic aneurysm and dissection. The patients' mean age was 66 years. Cardiopulmonary bypass was performed conventionally, and an open stent graft was inserted via an aortotomy on the aortic arch during circulatory arrest. No mortality occurred. The mean operation time was 387 min, and the mean blood loss was 587 ml. The patients were weaned from the ventilator 7.1 h postoperatively. No pseudoaneurysm or endoleakage was observed during the 2- to 20-month follow-up. Mini-OSG might be less invasive, although further studies and intensive follow-up are needed.
Sections du résumé
BACKGROUND
BACKGROUND
Open stent grafting is an alternative of graft replacement and thoracic endovascular aortic repair for aortic arch aneurysm. We have performed open stent grafting with half sternotomy (mini-OSG) to reduce in-hospital stay and recovery time of patients and herein report seven cases of mini-OSG for aortic aneurysm and dissection.
CASE PRESENTATION
METHODS
The patients' mean age was 66 years. Cardiopulmonary bypass was performed conventionally, and an open stent graft was inserted via an aortotomy on the aortic arch during circulatory arrest. No mortality occurred. The mean operation time was 387 min, and the mean blood loss was 587 ml. The patients were weaned from the ventilator 7.1 h postoperatively. No pseudoaneurysm or endoleakage was observed during the 2- to 20-month follow-up.
CONCLUSIONS
CONCLUSIONS
Mini-OSG might be less invasive, although further studies and intensive follow-up are needed.
Identifiants
pubmed: 31171013
doi: 10.1186/s13019-019-0923-x
pii: 10.1186/s13019-019-0923-x
pmc: PMC6554927
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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