{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:18:43Z","timestamp":1785597523169,"version":"3.56.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Our goal was to review our surgical experiences in patients with complex pathologies of the aortic arch who have undergone anterolateral thoracotomy with a partial sternotomy (ALPS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From October 2019 to November 2023, a total of 23 patients underwent one-stage repairs of complex pathologies of the aortic arch through the ALPS approach. The mean age was 61.9\u2009\u00b1\u200916.7\u2009years old. The aortic pathologies were as follows: aorta-related infection in 11 (aorto-oesophageal fistula: 4, graft infection: 6, native aortic infection: 1); aortic dissection in 9 including shaggy aorta in 2, non-dissecting aneurysm in 1, and coarctation of the aorta (CoA) in 2.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Eighteen patients underwent aortic replacement from either the sinotubular junction or the ascending aorta to the descending aorta; 1 patient underwent it from the aortic root to the descending aorta (redo Bentall procedure and extensive aortic arch replacement); 3 patients underwent it from the aortic arch between the left carotid artery and left subclavian artery to the descending aorta; and 1 patient underwent a descending aortic replacement. Ten patients underwent omentopexy, latissimus dorsi muscle flap installation or both procedures. The hospital mortality rate was 13.0% (3\/23). The overall survival and freedom from aortic events were 73.3%\u00b110.2% and 74.1%\u00b110.2%, respectively, at the 3-year follow-up. There was an absence of aorta-related deaths, and no recurrent infections were identified.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The short-term outcomes using the ALPS approach for the treatment of complex pathologies of the aortic arch were acceptable. Further studies will be required to determine the long-term results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae138","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T14:39:21Z","timestamp":1712759961000},"source":"Crossref","is-referenced-by-count":8,"title":["Anterolateral thoracotomy with partial sternotomy: a feasible approach for treating the complex pathology of the aortic arch"],"prefix":"10.1093","volume":"65","author":[{"given":"Katsuhiro","family":"Yamanaka","sequence":"first","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0143-4754","authenticated-orcid":false,"given":"Shota","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Kawabata","sequence":"additional","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironaga","family":"Shiraki","sequence":"additional","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunya","family":"Chomei","sequence":"additional","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taishi","family":"Inoue","sequence":"additional","affiliation":[{"name":"The Department of Surgery, Division of Cardiovascular Surgery, University of Kobe , Kobe, 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