1. Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
- Author
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Pierre Demondion, Pascal Leprince, Alexander Moiroux-Sahraoui, Service de Chirurgie cardiaque et thoracique [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université - Faculté de Médecine (SU FM), and Sorbonne Université (SU)
- Subjects
Aortic arch ,medicine.medical_specialty ,aortic arch aneurysm ,[SDV]Life Sciences [q-bio] ,Dissection (medical) ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,medicine.artery ,medicine ,Radiology, Nuclear Medicine and imaging ,hemiclamshell ,Surgical approach ,business.industry ,Extracorporeal circulation ,Aortic arch aneurysm ,medicine.disease ,Surgery ,ductus arteriosus ,Descending aorta ,Cerebral flow ,cardiovascular system ,How I Do It ,Cardiology and Cardiovascular Medicine ,business - 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.
- Published
- 2021
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