Abstract
Sternotomy in a patient with an aneurysm in the ascending aorta adherent to the sternum after cardiac surgery can result in fatal hemorrhage or brain damage unless the distal ascending aorta can be identified and secured immediately. A left anterolateral thoracotomy was used in three patients with adherent aneurysms. The distal ascending aorta was isolated, and dissection was performed between the aneurysm and the sternum. There was no complication. This method was safe, and blood loss was minimized.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Borst HG. Replacement of ascending aorta and aortic valve. Ann Thorac Surg 1981; 32: 613–4.
Borst HG, Schaudig A, Rudolph W. Arteriovenous fistula of the aortic arch: repair during deep hypothermia and circulatory arrest. J Thorac Cardiovasc Surg 1964; 48: 443–7.
Lillehei CW, Todd DB Jr, Levy MJ, Ellis RJ. Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. J Thorac Cardiovasc Surg 1969; 58: 530–44.
Crawford ES, Crawford JL, Safi HJ, Coseli JS. Redo operation for recurrent aneurysmal disease of the ascending aorta and transverse aortic arch. Ann Thorac Surg 1985; 40: 439–55.
Crawford ES, Coseli JS, Safi HJ. Partial cardiopulmonary bypass, hypothermic circulatory arrest, and posterolateral exposure for thoracic aortic aneurysm operation. J Thorac Cardiovasc Surg 1987; 94: 824–7.
Giordano GF, Goldman DS, Mammana RB, Marco JD, Nester JD, Raczkowski AR, et al. Intraoperative autotransfusion in cardiac operation. J Thorac Cardiovasc Surg 1988; 96: 382–6.
Cosgrove PM, Loop FD, Lytle BW. Blood conservation in cardiac surgery. Cardiovasc Clin 1982; 12: 165–75.
Love TR, Hendren WG, O’Keeffe DD, Dagget WM. Transfusion of predonated autologous blood in elective cardiac surgery. Ann Thorac Surg 1987; 43: 508–13.
Kato J, Tsuchiya K, Sato W, Nakajima M, Iida Y. Additional postbypass administration of tranexamic acid reduces blood loss after cardiac operation. J Thorac Cardiovasc Surg 1997; 113: 802–4.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Osawa, H., Tsuchiya, K., Furukawa, H. et al. Aneurysms in the ascending aorta adherent to the sternum after cardiac surgery. Jpn J Thorac Caridovasc Surg 48, 373–375 (2000). https://doi.org/10.1007/BF03218159
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03218159