Skip to main content
Erschienen in: Surgery Today 5/2014

01.05.2014 | Case Report

Total arch replacement via antero-lateral thoracotomy with partial sternotomy in patients with a tracheostoma: report of two cases

verfasst von: Shunsuke Miyahara, Takeshi Inoue, Hitoshi Minami, Kenji Okada, Yutaka Okita

Erschienen in: Surgery Today | Ausgabe 5/2014

Einloggen, um Zugang zu erhalten

Abstract

Midsternotomy in patients with a coexisting tracheostomy is associated with a risk of deep sternal wound infection (DSWI) or mediastinitis. We herein present two cases of total arch replacement using a surgical technique designed to avoid the danger of DSWI. Total arch replacement via an antero-lateral thoracotomy with partial sternotomy can be one of the options for patients with a tracheostoma or after laryngectomy, and can both protect organs and avoid DSWI.
Literatur
1.
Zurück zum Zitat Shanmugam G, Hart G, Jeffrey R, McFarlane H. Coronary bypass by complete sternotomy in a patient with a tracheostoma. Interact Cardiovasc Thorac Surg. 2004;3:89–91.PubMedCrossRef Shanmugam G, Hart G, Jeffrey R, McFarlane H. Coronary bypass by complete sternotomy in a patient with a tracheostoma. Interact Cardiovasc Thorac Surg. 2004;3:89–91.PubMedCrossRef
2.
Zurück zum Zitat Stamenkovic SA, Morgan IS, Pontefract DR, Campanella C. Is early tracheostomy safe in cardiac patients with median sternotomy incisions? Ann Thorac Surg. 2000;69:1152–4.PubMedCrossRef Stamenkovic SA, Morgan IS, Pontefract DR, Campanella C. Is early tracheostomy safe in cardiac patients with median sternotomy incisions? Ann Thorac Surg. 2000;69:1152–4.PubMedCrossRef
3.
Zurück zum Zitat Curtis JJ, Clark NC, McKenney CA, Walls JT, Schmaltz RA, Demmy TL, Jones JW, Wilson WR Jr, Wagner-Mann CC. Tracheostomy: a risk factor for mediastinitis after cardiac operation. Ann Thorac Surg. 2001;72:731–4.PubMedCrossRef Curtis JJ, Clark NC, McKenney CA, Walls JT, Schmaltz RA, Demmy TL, Jones JW, Wilson WR Jr, Wagner-Mann CC. Tracheostomy: a risk factor for mediastinitis after cardiac operation. Ann Thorac Surg. 2001;72:731–4.PubMedCrossRef
4.
Zurück zum Zitat Obitsu Y, Koizumi N, Takahashi S, Iida Y, Saiki N, Watanabe Y, Kawaguchi S, Shigematsu H. Hybrid procedures combining conventional and thoracic endovascular aortic repair for thoracic aortic aneurysms. Surg Today. 2011;41:922–7.PubMedCrossRef Obitsu Y, Koizumi N, Takahashi S, Iida Y, Saiki N, Watanabe Y, Kawaguchi S, Shigematsu H. Hybrid procedures combining conventional and thoracic endovascular aortic repair for thoracic aortic aneurysms. Surg Today. 2011;41:922–7.PubMedCrossRef
5.
Zurück zum Zitat Pierce WS, Tyers GF, Waldhausen JA. Effective isolation of a tracheostomy from a median sternotomy wound. J Thorac Cardiovasc Surg. 1973;66:841–2.PubMed Pierce WS, Tyers GF, Waldhausen JA. Effective isolation of a tracheostomy from a median sternotomy wound. J Thorac Cardiovasc Surg. 1973;66:841–2.PubMed
6.
Zurück zum Zitat Marshall WG, Meng RL, Ehrenhaft JL. Coronary-artery bypass-grafting in patients with a tracheostoma—use of a bilateral thoracotomy incision. Ann Thorac Surg. 1988;46:465–6.PubMedCrossRef Marshall WG, Meng RL, Ehrenhaft JL. Coronary-artery bypass-grafting in patients with a tracheostoma—use of a bilateral thoracotomy incision. Ann Thorac Surg. 1988;46:465–6.PubMedCrossRef
7.
Zurück zum Zitat Doty DB, DiRusso GB, Doty JR. Full-spectrum cardiac surgery through a minimal incision: mini-sternotomy (lower half) technique. Ann Thorac Surg. 1998;65:573–7.PubMedCrossRef Doty DB, DiRusso GB, Doty JR. Full-spectrum cardiac surgery through a minimal incision: mini-sternotomy (lower half) technique. Ann Thorac Surg. 1998;65:573–7.PubMedCrossRef
8.
Zurück zum Zitat Kouchoukos NT, Mauney MC, Masetti P, Castner CF. Optimization of aortic arch replacement with a one-stage approach. Ann Thorac Surg. 2007;83:S811–4. (discussion S824–31).PubMedCrossRef Kouchoukos NT, Mauney MC, Masetti P, Castner CF. Optimization of aortic arch replacement with a one-stage approach. Ann Thorac Surg. 2007;83:S811–4. (discussion S824–31).PubMedCrossRef
9.
Zurück zum Zitat Ohata T, Sakakibara T, Takano H, Ishizaka T. Total arch replacement for thoracic aortic aneurysm via median sternotomy with or without left anterolateral thoracotomy. Ann Thorac Surg. 2003;75:1792–6.PubMedCrossRef Ohata T, Sakakibara T, Takano H, Ishizaka T. Total arch replacement for thoracic aortic aneurysm via median sternotomy with or without left anterolateral thoracotomy. Ann Thorac Surg. 2003;75:1792–6.PubMedCrossRef
10.
Zurück zum Zitat Okada K, Tanaka A, Munakata H, Matsumori M, Morimoto Y, Tanaka Y, Maehara T, Okita Y. Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy. Eur J Cardio-Thorac. 2009;35:270–5.CrossRef Okada K, Tanaka A, Munakata H, Matsumori M, Morimoto Y, Tanaka Y, Maehara T, Okita Y. Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy. Eur J Cardio-Thorac. 2009;35:270–5.CrossRef
11.
Zurück zum Zitat Abe T, Ito T, Sunada M, Yoshizumi T, Kawamura A, Yamana K. Transapical aortic cannulation via left lateral thoracotomy for descending thoracic and thoracoabdominal aortic surgery. Gen Thorac Cardiovasc Surg. 2009;57:605–8.PubMedCrossRef Abe T, Ito T, Sunada M, Yoshizumi T, Kawamura A, Yamana K. Transapical aortic cannulation via left lateral thoracotomy for descending thoracic and thoracoabdominal aortic surgery. Gen Thorac Cardiovasc Surg. 2009;57:605–8.PubMedCrossRef
12.
Zurück zum Zitat Kawaguchi S, Yokoi Y, Shimazaki T, Koide K, Matsumoto M, Shigematsu H. Thoracic endovascular aneurysm repair in Japan: experience with fenestrated stent grafts in the treatment of distal arch aneurysms. J Vasc Surg. 2008;48:24s–9s.PubMedCrossRef Kawaguchi S, Yokoi Y, Shimazaki T, Koide K, Matsumoto M, Shigematsu H. Thoracic endovascular aneurysm repair in Japan: experience with fenestrated stent grafts in the treatment of distal arch aneurysms. J Vasc Surg. 2008;48:24s–9s.PubMedCrossRef
Metadaten
Titel
Total arch replacement via antero-lateral thoracotomy with partial sternotomy in patients with a tracheostoma: report of two cases
verfasst von
Shunsuke Miyahara
Takeshi Inoue
Hitoshi Minami
Kenji Okada
Yutaka Okita
Publikationsdatum
01.05.2014
Verlag
Springer Japan
Erschienen in
Surgery Today / Ausgabe 5/2014
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-013-0537-1

Weitere Artikel der Ausgabe 5/2014

Surgery Today 5/2014 Zur Ausgabe

Leitlinien kompakt für die Allgemeinmedizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Facharzt-Training Allgemeinmedizin

Die ideale Vorbereitung zur anstehenden Prüfung mit den ersten 24 von 100 klinischen Fallbeispielen verschiedener Themenfelder

Mehr erfahren

Update Allgemeinmedizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.