Left Hemiclamshell Approach for Posterior Aortic Arch Aneurysm.

Alexander Moiroux-Sahraoui,Pascal Leprince,Pierre Demondion

doi:10.1055/s-0040-1715469

Abstract

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.

Highlights

The anatomical relations of posterior aortic arch aneurysms force us to address the issue of the proper surgical approach.[1]
We present here a left hemiclamshell approach for posterior aortic arch aneurysms
We report our strategy regarding two cases of posterior aortic arch aneurysms

Summary

Introduction

The anatomical situation of posterior aortic arch aneurysms is a surgical challenge. The surgical approach should guarantee a safe dissection of the supra-aortic trunks and the descending aorta and allow the cannulation for extracorporeal circulation. A hemiclamshell approach for posterior aortic arch aneurysm seems to be a good compromise regarding these requirements. The anatomical relations of posterior aortic arch aneurysms force us to address the issue of the proper surgical approach.[1] the incision should guarantee a safe dissection of the supra-aortic trunks and the descending aorta and allow the cannulation for extracorporeal circulation (ECC).

Results

Conclusion