• Ann. Thorac. Surg. · Oct 2012

    Case Reports

    Surgical repair of aberrant subclavian artery through clamshell approach.

    • Hiroki Hata, Takanori Shibukawa, and Hisashi Satoh.
    • Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan. hatahiro1019@yahoo.co.jp
    • Ann. Thorac. Surg. 2012 Oct 1; 94 (4): 1362-4.

    AbstractAberrant subclavian artery is a rare abnormality that often occurs in association with Kommerell's diverticulum. The optimal surgical treatment is exclusion and reconstruction of the dilated diverticulum or aberrant subclavian artery. To accomplish such a radical operation in a single stage, we have introduced total (or partial) arch replacement using deep hypothermic circulatory arrest and the arch-first technique through a bilateral submammary thoracotomy (the clamshell approach). This technique provides excellent exposure of the neck arteries and the entire thoracic aorta.Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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