Emergency Surgery for Acute Type A Aortic Dissection through Partial Sternotomy in a Patient with Terminal Tracheostoma

Abstract

A 68-year-old man, who had undergone total laryngectomy for laryngeal cancer and had a terminal tracheostoma, was admitted to our hospital with a diagnosis of acute type A aortic dissection. Pre-operative chest CT revealed a dissected ascending aorta with thrombosis in a false lumen and significant pericardial effusion. We performed ascending aorta replacement. For the surgical approach, partial sternotomy was applied to avoid a deep wound infection. Surgical repair of acute type A aortic dissection in a patient with terminal tracheostoma was rare, and partial sternotomy seemed a beneficial alternative approach.