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

<p>Abstract</p> <p>Background</p> <p>We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch.</p> <p>Case presentation</p> <p>3 patients had a bifurcated Dacron graft fo...

Full description

Bibliographic Details
Main Authors: Cheshire Nicholas JW, Choong Andrew, Rao Christopher, Protopapas Aristotle D, Athanasiou Thanos
Format: Article
Language:English
Published: BMC 2007-08-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/2/1/36
_version_ 1818750909460512768
author Cheshire Nicholas JW
Choong Andrew
Rao Christopher
Protopapas Aristotle D
Athanasiou Thanos
author_facet Cheshire Nicholas JW
Choong Andrew
Rao Christopher
Protopapas Aristotle D
Athanasiou Thanos
author_sort Cheshire Nicholas JW
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch.</p> <p>Case presentation</p> <p>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.</p> <p>Discussion</p> <p>Advantages and disadvantages of this technique in relation to anatomy and pathology.</p>
first_indexed 2024-12-18T04:27:10Z
format Article
id doaj.art-6370b1c0a41048ccb0831e1b5e717b8c
institution Directory Open Access Journal
issn 1749-8090
language English
last_indexed 2024-12-18T04:27:10Z
publishDate 2007-08-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj.art-6370b1c0a41048ccb0831e1b5e717b8c2022-12-21T21:21:04ZengBMCJournal of Cardiothoracic Surgery1749-80902007-08-01213610.1186/1749-8090-2-36Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysmCheshire Nicholas JWChoong AndrewRao ChristopherProtopapas Aristotle DAthanasiou Thanos<p>Abstract</p> <p>Background</p> <p>We describe a modified access technique for the proximal (open) part of single stage hybrid exclusion of aneurysm of the aortic arch.</p> <p>Case presentation</p> <p>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.</p> <p>Discussion</p> <p>Advantages and disadvantages of this technique in relation to anatomy and pathology.</p>http://www.cardiothoracicsurgery.org/content/2/1/36
spellingShingle Cheshire Nicholas JW
Choong Andrew
Rao Christopher
Protopapas Aristotle D
Athanasiou Thanos
Combined sterno-clavicular approach as an alternative technique in hybrid exclusion of aortic arch aneurysm
Journal of Cardiothoracic Surgery
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
url http://www.cardiothoracicsurgery.org/content/2/1/36
work_keys_str_mv AT cheshirenicholasjw combinedsternoclavicularapproachasanalternativetechniqueinhybridexclusionofaorticarchaneurysm
AT choongandrew combinedsternoclavicularapproachasanalternativetechniqueinhybridexclusionofaorticarchaneurysm
AT raochristopher combinedsternoclavicularapproachasanalternativetechniqueinhybridexclusionofaorticarchaneurysm
AT protopapasaristotled combinedsternoclavicularapproachasanalternativetechniqueinhybridexclusionofaorticarchaneurysm
AT athanasiouthanos combinedsternoclavicularapproachasanalternativetechniqueinhybridexclusionofaorticarchaneurysm