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Total arch replacement with both frozen elephant trunk and transthoracic aorto-axillary extra-anatomical bypass through partial sternotomy for acute aortic dissection in a tracheostomy patient

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Abstract

Median sternotomy near an existing tracheostoma risks deep sternal wound infection after cardiac surgery. We present herein a case of acute type A aortic dissection in a patient with a permanent tracheostoma after laryngectomy. Total arch replacement with both frozen elephant trunk and extra-anatomical bypass for supra-aortic trunks was performed through T-shaped partial sternotomy, resulting in recovery without deep sternal wound infection.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba-city, Ibaraki, 305-8576, Japan

    Motoo Osaka, Ryuhei Yamamoto, Kazuhumi Suzuki, Tomomi Nakajima, Toru Tsukada, Bryan Mathis, Hiroaki Sakamoto & Yuji Hiramatsu

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  1. Motoo Osaka
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  2. Ryuhei Yamamoto
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  3. Kazuhumi Suzuki
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  4. Tomomi Nakajima
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  5. Toru Tsukada
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  6. Bryan Mathis
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  7. Hiroaki Sakamoto
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  8. Yuji Hiramatsu
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Correspondence to Motoo Osaka.

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Osaka, M., Yamamoto, R., Suzuki, K. et al. Total arch replacement with both frozen elephant trunk and transthoracic aorto-axillary extra-anatomical bypass through partial sternotomy for acute aortic dissection in a tracheostomy patient. Gen Thorac Cardiovasc Surg 70, 386–389 (2022). https://doi.org/10.1007/s11748-021-01755-6

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  • DOI: https://doi.org/10.1007/s11748-021-01755-6

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