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  • Title: Total arch replacement with both frozen elephant trunk and transthoracic aorto-axillary extra-anatomical bypass through partial sternotomy for acute aortic dissection in a tracheostomy patient.
    Author: Osaka M, Yamamoto R, Suzuki K, Nakajima T, Tsukada T, Mathis B, Sakamoto H, Hiramatsu Y.
    Journal: Gen Thorac Cardiovasc Surg; 2022 Apr; 70(4):386-389. PubMed ID: 34993904.
    Abstract:
    Median sternotomy near an existing tracheostoma risks deep sternal wound infection after cardiac surgery. We present herein a case of acute type A aortic dissection in a patient with a permanent tracheostoma after laryngectomy. Total arch replacement with both frozen elephant trunk and extra-anatomical bypass for supra-aortic trunks was performed through T-shaped partial sternotomy, resulting in recovery without deep sternal wound infection.
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