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CC BY 4.0 · Aorta (Stamford) 2020; 08(06): 187-190
DOI: 10.1055/s-0040-1715469
How I Do It

Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm

Alexander Moiroux-Sahraoui
1   Department of Cardiac Surgery, Sorbonne Université, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
,
Pascal Leprince
1   Department of Cardiac Surgery, Sorbonne Université, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
,
Pierre Demondion
1   Department of Cardiac Surgery, Sorbonne Université, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
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Abstract

The anatomical situation of posterior aortic arch aneurysms is a surgical challenge. The surgical approach should not only guarantee a safe dissection of the supra-aortic trunks and the descending aorta but also allow the cannulation for extracorporeal circulation. Indeed, protecting the cerebral flow is essential. Another challenge is to preserve both the phrenic and recurrent nerves while sparing chest wall muscles. A hemiclamshell approach for posterior aortic arch aneurysm seems to be a good compromise regarding these requirements.

Keywords

hemiclamshell - aortic arch aneurysm - ductus arteriosus


Publication History

Received: 17 February 2020

Accepted: 20 June 2020

Article published online:
19 March 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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