Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm

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 fl...

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Autores principales: Moiroux-Sahraoui, Alexander, Leprince, Pascal, Demondion, Pierre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043813/
https://www.ncbi.nlm.nih.gov/pubmed/33742430
http://dx.doi.org/10.1055/s-0040-1715469
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author Moiroux-Sahraoui, Alexander
Leprince, Pascal
Demondion, Pierre
author_facet Moiroux-Sahraoui, Alexander
Leprince, Pascal
Demondion, Pierre
author_sort Moiroux-Sahraoui, Alexander
collection PubMed
description 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.
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spelling pubmed-80438132021-04-15 Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm Moiroux-Sahraoui, Alexander Leprince, Pascal Demondion, Pierre Aorta (Stamford) 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. Thieme Medical Publishers, Inc. 2021-03-19 /pmc/articles/PMC8043813/ /pubmed/33742430 http://dx.doi.org/10.1055/s-0040-1715469 Text en 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/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Moiroux-Sahraoui, Alexander
Leprince, Pascal
Demondion, Pierre
Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title_full Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title_fullStr Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title_full_unstemmed Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title_short Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm
title_sort left hemiclamshell approach for posterior aortic arch aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043813/
https://www.ncbi.nlm.nih.gov/pubmed/33742430
http://dx.doi.org/10.1055/s-0040-1715469
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