title: Total arch replacement via antero-lateral thoracotomy with partial sternotomy in patients with a tracheostoma: report of two cases.
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.
authors.affiliation: Division of Cardiovascular Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Miyahara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Inoue
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Minami
authors.forename: Kenji
authors.initials: K
authors.lastname: Okada
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Okita
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects; D008297:Male; D056346:Sternotomy / Q000379:methods*; D013530:Surgical Wound Infection / Q000517:prevention & control*; D013908:Thoracotomy / Q000379:methods*; D014139:Tracheostomy / Q000379:methods*; D016896:Treatment Outcome