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CC BY 4.0 · Aorta (Stamford) 2022; 10(04): 147-154
DOI: 10.1055/s-0042-1750413
Special Feature Article

Transsternal and Transpericardial Approach to Descending Thoracic Aorta via Median Sternotomy—An Option for Extensive Aortic Surgery

Kay-Hyun Park 
1   Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
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Abstract

We describe a technique for approaching the distal descending thoracic aorta via median sternotomy and posterior pericardiotomy, which enabled us to perform the extensive aortic repair. While this approach shared the lesser invasiveness of the frozen elephant trunk procedure with less confinement by anatomic features, the advantage was counterbalanced by the high incidence of spinal cord ischemia. This approach can be an option in highly selected patients who require extensive aortic repair but have factors prohibiting other conventional approaches.

Keywords

elephant trunk - frozen elephant trunk - chronic dissection - extensive aneurysm


Publication History

Received: 06 September 2021

Accepted: 12 April 2022

Article published online:
15 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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