Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report

Tsujimoto, Takanori; Omura, Atsushi; Inoue, Takeshi; Chomei, Syunya; Hamaguchi, Mari; Inoue, Taketo; Nakai, Hidekazu; Yamanaka, Katsuhiro; Okada, Kenji

doi:10.3400/avd.cr.21-00072

Cited by 2 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anterolateral thoracotomy with partial sternotomy (ALPS) has been a suitable option for a complex and extended thoracic aortic replacement. [1][2][3] We report our clinical experience using ALPS for an exceedingly rare case of chronic type B aortic dissection with the right aortic arch.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Right anterolateral thoracotomy with partial sternotomy for chronic type B aortic dissection with right aortic arch and Kommerell's diverticulum

Kasama

Uranaka

Tomita

et al. 2023

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Chronic type B aortic dissection with the right aortic arch was rare. We present the case of a 59-year-old man with a right aortic arch and chronic type B aortic dissection, with a maximum size of 80 mm. Graft replacement was successfully performed through right anterolateral thoracotomy with partial sternotomy through the fourth intercostal space. The patient's postoperative course was uneventful. He had no paralysis and was extubated on postoperative day 2 and discharged from the hospital on postoperative day 15. Anterolateral thoracotomy with partial sternotomy could be a suitable approach for right-sided aortic aneurysms.

show abstract

Section: Introductionmentioning

confidence: 99%

“…The anterolateral thoracotomy with partial sternotomy (ALPS) has been a suitable option for a complex and extended thoracic aortic replacement. 1–3…”

Section: Introductionmentioning

confidence: 99%

Right anterolateral thoracotomy with partial sternotomy for chronic type B aortic dissection with right aortic arch and Kommerell's diverticulum

Kasama

Uranaka

Tomita

et al. 2023

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

show abstract

Surgical Strategies in Reoperation of the Proximal Aorta and Arch for Patients with Previous Frozen Elephant Trunk

Arjomandi Rad,

Ansaripour,

Magouliotis

et al. 2024

JCM

View full text Add to dashboard Cite

Background: The frozen elephant trunk (FET) technique is increasingly utilized for aortic arch replacement in cases of aortic dissections and aneurysms. This rise in usage has led to more patients needing redo aortic surgeries due to progression of existing conditions, FET-related complications, or new valvular/coronary diseases. This article aims to evaluate surgical techniques to minimize risks during these reoperations, including a case study of a complex redo surgery. Methods: A comprehensive examination of surgical strategies was conducted, focusing on preoperative preparation, cannulation site identification, cerebral and cardiac protective measures, and pitfalls to avoid. The importance of adapting to the modified anatomical landscape post-FET is emphasized. A detailed case study of a patient undergoing complex redo FET surgery is included. Results: The article identified key surgical strategies for reoperation in patients with prior FET, highlighting the importance of meticulous preoperative planning and execution. Techniques to minimize risks include detailed imaging for planning, strategic cannulation for optimal perfusion, multidisciplinary approaches as well as careful fail-safe measures. The case study demonstrates the practical application of these strategies in a high-risk scenario. The evidence underscores the necessity for individualized patient management and the development of standardized protocols. Conclusions: The FET technique, while effective for initial aortic arch repairs, often necessitates complex reoperations. Adopting advanced surgical strategies and multidisciplinary planning can significantly mitigate risks associated with these procedures. Future research should focus on refining these techniques and establishing standardized protocols to improve patient outcomes.

show abstract

Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report

Cited by 2 publications

References 11 publications

Right anterolateral thoracotomy with partial sternotomy for chronic type B aortic dissection with right aortic arch and Kommerell's diverticulum

Right anterolateral thoracotomy with partial sternotomy for chronic type B aortic dissection with right aortic arch and Kommerell's diverticulum

Surgical Strategies in Reoperation of the Proximal Aorta and Arch for Patients with Previous Frozen Elephant Trunk

Contact Info

Product

Resources

About