1. Post-Dissection Single-Stage Arch and Descending Aorta Replacement via Clamshell Incision
- Author
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Paul Cullen, R. John L. Brereton, and Manu N. Mathur
- Subjects
Pulmonary and Respiratory Medicine ,Aortic arch ,Clamshell ,medicine.medical_specialty ,Aorta, Thoracic ,030204 cardiovascular system & hematology ,Blood Vessel Prosthesis Implantation ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,medicine ,Humans ,030212 general & internal medicine ,Arch ,Aortic dissection ,business.industry ,Single stage ,Dissection ,medicine.disease ,Surgery ,Aortic Dissection ,Thoracotomy ,Descending aorta ,Cardiology and Cardiovascular Medicine ,business - Abstract
Residual dissections after type A repairs are common and can result in aneurysm formation. Surgery is complex and considered high risk, particularly if there is arch involvement. A single-stage "arch-first" technique via clamshell incision is an excellent option in certain circumstances and herein we detail a variation of this approach using a trifurcated graft.
- Published
- 2021
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