Aorta-innominate bypass through ministernotomy

J Vasc Surg. 2018 Aug;68(2):607-610. doi: 10.1016/j.jvs.2018.01.069.

Abstract

Atherosclerotic innominate artery occlusive disease can lead to cerebral and upper extremity ischemia. Innominate artery angioplasty and stenting can be complicated by stent fractures and restenosis; furthermore, this technique is limited in treatment of innominate artery occlusions. Ministernotomy to the second or third intercostal space can be used instead of conventional full sternotomy for open surgical revascularization of the innominate artery with excellent perioperative and long-term outcomes. This series of three consecutive patients highlights the technique of aorta-innominate artery bypass through ministernotomy.

Keywords: Aorta-innominate artery bypass; Atherosclerosis; Innominate artery; Ministernotomy.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aorta / diagnostic imaging
  • Aorta / physiopathology
  • Aorta / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Brachiocephalic Trunk / diagnostic imaging
  • Brachiocephalic Trunk / physiopathology
  • Brachiocephalic Trunk / surgery*
  • Female
  • Humans
  • Middle Aged
  • Peripheral Arterial Disease / diagnostic imaging
  • Peripheral Arterial Disease / physiopathology
  • Peripheral Arterial Disease / surgery*
  • Retrospective Studies
  • Sternotomy / methods*
  • Suture Techniques
  • Treatment Outcome