Extended aortic arch repair via simple median sternotomy using a
parabronchial approach: a case report
Surgery for extensive thoracic aortic aneurysms is challenging. We
report the case of a young woman with Takayasu’s arteritis who developed
aortic dissection and was successfully treated with our novel extended
arch repair method, which we termed “parabronchial approach”. Surgery
was performed via a simple sternotomy. The left pulmonary artery was
compressed caudally by a surgical assistant arm typically used for
coronary artery bypass grafting. This method simplified the creation of
a distal anastomosis to the descending aorta behind the left bronchus.
Postoperative computed tomography revealed a distal anastomosis at the
sixth thoracic vertebra . This parabronchial approach
could reduce the frequency of choosing a highly invasive approach and
can be a potential minimally invasive approach in cases requiring
extensive thoracic aortic aneurysm repair.