title: Surgical repair of aberrant subclavian artery through clamshell approach.
abstract: Aberrant 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.
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan. hatahiro1019@yahoo.co.jp
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hata
authors.forename: Takanori
authors.initials: T
authors.lastname: Shibukawa
authors.forename: Hisashi
authors.initials: H
authors.lastname: Satoh
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D018376:Cardiovascular Abnormalities / Q000601:surgery*; D003680:Deglutition Disorders / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery*; D013536:Suture Techniques; D013908:Thoracotomy; D054079:Vascular Malformations / Q000601:surgery*