Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm

BACKGROUND: We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch. CASE PRESENTATION: 3 patients had a bifurcated Dacron graft for the innominate and left subclavian arteries and an additional end-to-side anastomosis of t...

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Autores principales: Protopapas, Aristotle D, Rao, Christopher, Choong, Andrew, Cheshire, Nicholas JW, Athanasiou, Thanos
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Case Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976315/
https://www.ncbi.nlm.nih.gov/pubmed/17708772
http://dx.doi.org/10.1186/1749-8090-2-36
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author Protopapas, Aristotle D
Rao, Christopher
Choong, Andrew
Cheshire, Nicholas JW
Athanasiou, Thanos
author_facet Protopapas, Aristotle D
Rao, Christopher
Choong, Andrew
Cheshire, Nicholas JW
Athanasiou, Thanos
author_sort Protopapas, Aristotle D
collection PubMed
description BACKGROUND: We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch. CASE PRESENTATION: 3 patients had a bifurcated Dacron graft for the innominate and left subclavian arteries and an additional end-to-side anastomosis of the left common carotid artery on the limb to the left subclavian artery. With our modification, access to the left subclavian artery is by left subclavicular incision and creation of an anterior tunnel via the left thoracic outlet from the origin of the left subclavian artery along its anatomical course to the subclavicular plane. DISCUSSION: Advantages and disadvantages of this technique in relation to anatomy and pathology.
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spelling pubmed-19763152007-09-13 Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm Protopapas, Aristotle D Rao, Christopher Choong, Andrew Cheshire, Nicholas JW Athanasiou, Thanos J Cardiothorac Surg Case Study BACKGROUND: We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch. CASE PRESENTATION: 3 patients had a bifurcated Dacron graft for the innominate and left subclavian arteries and an additional end-to-side anastomosis of the left common carotid artery on the limb to the left subclavian artery. With our modification, access to the left subclavian artery is by left subclavicular incision and creation of an anterior tunnel via the left thoracic outlet from the origin of the left subclavian artery along its anatomical course to the subclavicular plane. DISCUSSION: Advantages and disadvantages of this technique in relation to anatomy and pathology. BioMed Central 2007-08-20 /pmc/articles/PMC1976315/ /pubmed/17708772 http://dx.doi.org/10.1186/1749-8090-2-36 Text en Copyright © 2007 Protopapas et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Study
Protopapas, Aristotle D
Rao, Christopher
Choong, Andrew
Cheshire, Nicholas JW
Athanasiou, Thanos
Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title_full Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title_fullStr Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title_full_unstemmed Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title_short Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
title_sort combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976315/
https://www.ncbi.nlm.nih.gov/pubmed/17708772
http://dx.doi.org/10.1186/1749-8090-2-36
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