Mini open stent grafting with half sternotomy for aortic arch aneurysm

Abstract 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 case...

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Main Authors: Tamaki Takano, Masayuki Sakaguchi, Takamitsu Terasaki, Taishi Fujii, Yusuke Date, Mugumi Fuke, Kai Machida
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-019-0923-x
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author Tamaki Takano
Masayuki Sakaguchi
Takamitsu Terasaki
Taishi Fujii
Yusuke Date
Mugumi Fuke
Kai Machida
author_facet Tamaki Takano
Masayuki Sakaguchi
Takamitsu Terasaki
Taishi Fujii
Yusuke Date
Mugumi Fuke
Kai Machida
author_sort Tamaki Takano
collection DOAJ
description Abstract 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 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 Mini-OSG might be less invasive, although further studies and intensive follow-up are needed.
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spelling doaj.art-8777638b55d44edb99bb6f21a22faf612022-12-21T19:42:10ZengBMCJournal of Cardiothoracic Surgery1749-80902019-06-011411410.1186/s13019-019-0923-xMini open stent grafting with half sternotomy for aortic arch aneurysmTamaki Takano0Masayuki Sakaguchi1Takamitsu Terasaki2Taishi Fujii3Yusuke Date4Mugumi Fuke5Kai Machida6Department of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalDepartment of Cardiovascular Surgery, Nagano Red-Cross HospitalAbstract 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 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 Mini-OSG might be less invasive, although further studies and intensive follow-up are needed.http://link.springer.com/article/10.1186/s13019-019-0923-xOpen stentMinimally invasive cardiac surgeryHalf sternotomy
spellingShingle Tamaki Takano
Masayuki Sakaguchi
Takamitsu Terasaki
Taishi Fujii
Yusuke Date
Mugumi Fuke
Kai Machida
Mini open stent grafting with half sternotomy for aortic arch aneurysm
Journal of Cardiothoracic Surgery
Open stent
Minimally invasive cardiac surgery
Half sternotomy
title Mini open stent grafting with half sternotomy for aortic arch aneurysm
title_full Mini open stent grafting with half sternotomy for aortic arch aneurysm
title_fullStr Mini open stent grafting with half sternotomy for aortic arch aneurysm
title_full_unstemmed Mini open stent grafting with half sternotomy for aortic arch aneurysm
title_short Mini open stent grafting with half sternotomy for aortic arch aneurysm
title_sort mini open stent grafting with half sternotomy for aortic arch aneurysm
topic Open stent
Minimally invasive cardiac surgery
Half sternotomy
url http://link.springer.com/article/10.1186/s13019-019-0923-x
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