Early results of total arch replacement under partial sternotomy

Early results of total arch replacement under partial sternotomy Objective Partial sternotomy with limited skin incision has been utilized for cardiac surgery. We, therefore, started to apply the partial sternotomy for total arch replacement since 2013 in selected cases. The aim of this study reported the results of our early experiences. Methods Between July 2013 and December 2015, we retrospectively reviewed 15 cases (median age 72, range 67–84, 15 male) who underwent total arch replacement thorough partial sternotomy. All procedures were performed under hypothermic circulatory arrest with selective cerebral perfusion. Results Median skin incision was 9 cm (range 7–15 cm, 5.3% of height) and partial sternotomy consisted of 14 upper and 1 lower partial sternotomy (L shape 8 and T shape 7 cases). Median operation time, cardiopulmonary bypass time, ischemic heart time, selective cerebral perfusion time and hypothermic circulatory arrest time were 485 [360–770], 223 [1174–270], 146 [100–163], 154 [116–189], and 69 [45–90] minutes, respectively. Median duration of mechanical ventilator dependent time was 12 h [5–38]. Median length of ICU stay and hospital stay were 3 [1–7], and 18 [13–76] days, respectively. Thirty days and in-hospital mortality were 0% without any neurological complications. There are two aorta-related reoperation due to graft inducing hemolytic anemia and no aorta-related death during follow-up (median http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png General Thoracic and Cardiovascular Surgery Springer Journals
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Publisher
Springer Japan
Copyright
Copyright © 2018 by The Japanese Association for Thoracic Surgery
Subject
Medicine & Public Health; Thoracic Surgery; Cardiac Surgery; Cardiology; Surgical Oncology
ISSN
1863-6705
eISSN
1863-6713
D.O.I.
10.1007/s11748-018-0913-2
Publisher site
See Article on Publisher Site

Abstract

Objective Partial sternotomy with limited skin incision has been utilized for cardiac surgery. We, therefore, started to apply the partial sternotomy for total arch replacement since 2013 in selected cases. The aim of this study reported the results of our early experiences. Methods Between July 2013 and December 2015, we retrospectively reviewed 15 cases (median age 72, range 67–84, 15 male) who underwent total arch replacement thorough partial sternotomy. All procedures were performed under hypothermic circulatory arrest with selective cerebral perfusion. Results Median skin incision was 9 cm (range 7–15 cm, 5.3% of height) and partial sternotomy consisted of 14 upper and 1 lower partial sternotomy (L shape 8 and T shape 7 cases). Median operation time, cardiopulmonary bypass time, ischemic heart time, selective cerebral perfusion time and hypothermic circulatory arrest time were 485 [360–770], 223 [1174–270], 146 [100–163], 154 [116–189], and 69 [45–90] minutes, respectively. Median duration of mechanical ventilator dependent time was 12 h [5–38]. Median length of ICU stay and hospital stay were 3 [1–7], and 18 [13–76] days, respectively. Thirty days and in-hospital mortality were 0% without any neurological complications. There are two aorta-related reoperation due to graft inducing hemolytic anemia and no aorta-related death during follow-up (median

Journal

General Thoracic and Cardiovascular SurgerySpringer Journals

Published: Mar 29, 2018

References

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