{"title":"【前外侧部分胸骨切开术作为主动脉弓动脉瘤去分支胸血管内修复术后开放修复的有效方法】。","authors":"Mitsuru Sato, Takaaki Hayashi, Satoshi Taniguchi, Tomoyuki Goto","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Thoracic endovascular aortic repair (TEVAR) has become a common minimally invasive option for aortic surgery, often accompanied by debranching of the aortic arch branches. However, TEVAR-specific complications occasionally necessitate open repair. In such cases, especially in patients with complex aortic arch pathology, the choice of surgical approach is critical. In this case, considering the unique background of cold agglutinin disease, we opted for an anterolateral partial sternotomy approach. This approach provided excellent exposure for aortic manipulation and allowed preservation of the existing bypass grafts, contributing to a successful outcome. We believe that this technique can be effectively applied in similar complex cases requiring open repair after debranching TEVAR.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 7","pages":"551-555"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Anterolateral Partial Sternotomy as an Effective Approach for Open Repair After Debranching Thoracic Endovascular Aortic Repair in Aortic Arch Aneurysm].\",\"authors\":\"Mitsuru Sato, Takaaki Hayashi, Satoshi Taniguchi, Tomoyuki Goto\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Thoracic endovascular aortic repair (TEVAR) has become a common minimally invasive option for aortic surgery, often accompanied by debranching of the aortic arch branches. However, TEVAR-specific complications occasionally necessitate open repair. In such cases, especially in patients with complex aortic arch pathology, the choice of surgical approach is critical. In this case, considering the unique background of cold agglutinin disease, we opted for an anterolateral partial sternotomy approach. This approach provided excellent exposure for aortic manipulation and allowed preservation of the existing bypass grafts, contributing to a successful outcome. We believe that this technique can be effectively applied in similar complex cases requiring open repair after debranching TEVAR.</p>\",\"PeriodicalId\":17841,\"journal\":{\"name\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"volume\":\"78 7\",\"pages\":\"551-555\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kyobu geka. The Japanese journal of thoracic surgery","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Anterolateral Partial Sternotomy as an Effective Approach for Open Repair After Debranching Thoracic Endovascular Aortic Repair in Aortic Arch Aneurysm].
Thoracic endovascular aortic repair (TEVAR) has become a common minimally invasive option for aortic surgery, often accompanied by debranching of the aortic arch branches. However, TEVAR-specific complications occasionally necessitate open repair. In such cases, especially in patients with complex aortic arch pathology, the choice of surgical approach is critical. In this case, considering the unique background of cold agglutinin disease, we opted for an anterolateral partial sternotomy approach. This approach provided excellent exposure for aortic manipulation and allowed preservation of the existing bypass grafts, contributing to a successful outcome. We believe that this technique can be effectively applied in similar complex cases requiring open repair after debranching TEVAR.