Total aortic arch replacement through the L-incision approach

Hoarseness subsequent to cardiovascular surgery, intervention, maneuver and endotracheal intubation: The so-called iatrogenic Ortner’s (cardiovocal) syndrome

“…Totally 50 reported were collected, including 19 (38%) case reports or case series [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], 1 (2%) technique [30], 17 (34%) retrospective [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] and 13 (26%) prospective reports [7,11,[49][50][51][52][53][54][55][56][57][58][59].…”

Repair of a Ductal Aneurysm Using a Hemi-Clamshell Incision in an Elderly Patient

“…7) One advantage of this method of incision is the increased level of exposure of the aorta, from the aortic arch to the descending aorta. The approach also enables reliable distal anastomoses.…”

“…Furthermore, maintaining thoracic integrity by avoiding division of the lower sternum enhances physical rehabilitation. 7) Of note, ductal aneurysms are most commonly seen in infants and children. To our knowledge, the current case study reports the outcome of surgical therapy for SDA on the oldest patient to date.…”

“…This approach has been previously described in detail. 7) Briefly, the patient was positioned in a supine or mildly left anterolateral position. We then performed a left anterior thoracotomy through the 4th or 5th intercostal space followed by an upper-half median sternotomy.…”

“…Two spring retractors were used to enhance exposure of the operative field. 7) Cardiopulmonary bypass was initiated with bilateral axillary arterial perfusion 8) and bicaval drainage. Adding direct cannulation to both carotid arteries enabled selective cerebral perfusion.…”