case_images: PMC10982367_01
case_images: (A) Neocarina packed by approximating the medial walls of the right and left main bronchi to each other to form a new carina with the trachea with a continuous polypropylene suture (Prolene, Ethicon, Sommerville, NJ): superior vena cava (SVC), aorta (A), and patient's head (H). (B) A traditional retractor (1) placed between the superior vena cava (SVC) and aorta (A) to expose the carina (2) [patient's head (H)]. (C) The carina exposed trough a median sternotomy: 1, trachea; 2, left main bronchus; 3, right main bronchus; 4, heart; and 5, descendent aorta.
case_images: fonc-14-1367311-g001.jpg
case_images: PMC10982367_01_fonc-14-1367311-g001.jpg
case_images: f1
case_images: Up to this level, the trachea was mobilized by pulling it downward to allow completion of the anastomosis, which was performed with continuous suturing using the same suture described above ( Figure 1A ). In the first case, we use a traditional retractor placed between the superior vena cava and aorta to expose the carina ( Figure 1B ). It was then decided to use an octopus-type retractor that allows the vascular structures to be mobilized and thus expose the carina while causing less trauma to the walls of the great vessels ( Figure 1C ).