Thorac Cardiovasc Surg 2018; 66(03): 222-226
DOI: 10.1055/s-0037-1607442
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Resternotomy Plus Left Thoracotomy Surgery after Previous Acute Type A Aortic Dissection Repair

Gaku Uchino
1  Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Takeshi Yoshida
1  Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Bunpachi Kakii
1  Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Masato Furui
1  Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
› Author Affiliations
Funding None.
Further Information

Publication History

16 June 2017

25 September 2017

Publication Date:
27 October 2017 (online)

Abstract

Background As the results of acute type A aortic dissection repair have improved, late reoperation for residual dissection has become increasingly important. We report our experience of graft replacement via extended approaches after a previous acute type A aortic dissection repair.

Methods From April 2003 to September 2016, 17 patients underwent reoperation via extended (repeat median sternotomy plus left thoracotomy) approaches after a previous repair of an acute type A aortic dissection at the Matsubara Tokushukai Hospital in Japan and were included in the analyses (males, 16; mean age at surgery, 60.0 ± 9.3 years).

Results The postoperative stroke and in-hospital mortality rates were 0 and 5.9%, respectively.

Conclusion Extended approach after a previous acute type A aortic dissection repair showed acceptable outcomes.

Author Contributions

G.U. assisted with the concept/design of the manuscript and data analysis/interpretation.


T.Y., M.F., and B.K. approved the article.