Key result
Left rib-cross thoracotomy enables excellent exposure and uneventful recovery in acute aortic dissection.
Why the study?
Surgical management of Stanford type A acute aortic dissection with extreme tuberculosis-related mediastinal deviation is challenging and requires tailored approaches.
Case Report (n=1)
Left rib-cross thoracotomy can provide excellent surgical exposure for Stanford type A acute aortic dissection in patients with extreme mediastinal deviation.
Answers are grounded in this paper and cite their sources.
May facilitate exposure in type A dissection with extreme mediastinal shift; leaves open comparative outcomes versus standard sternotomy.
In this article, we report on the case of an 85-year-old woman with a history of left pulmonary tuberculosis, who was referred for Stanford type A acute aortic dissection. A preoperative chest X-ray and computed tomography revealed extreme mediastinal deviation to the left. We decided to perform surgery with left rib-cross thoracotomy. This approach yielded excellent exposure of the aortic root, ascending aorta and aortic arch. Following an uneventful operative and postoperative course, the patient was discharged on the 21st postoperative day.
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Saisho et al. (2019) conducted a case report in Stanford type A acute aortic dissection with extreme tuberculosis-related mediastinal deviation (n=1). Surgery with left rib-cross thoracotomy was evaluated on Operative and postoperative course. Surgery with left rib-cross thoracotomy provided excellent exposure and resulted in an uneventful recovery and discharge on the 21st postoperative day in a patient with acute aortic dissection.
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