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Surgical Repair of Cervical Aortic Arch With Brain Circulation Anomaly Through Clamshell Incision  Toshihito Gomibuchi, MD, Tatsuichiro Seto, MD, Takateru.

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Presentation on theme: "Surgical Repair of Cervical Aortic Arch With Brain Circulation Anomaly Through Clamshell Incision  Toshihito Gomibuchi, MD, Tatsuichiro Seto, MD, Takateru."— Presentation transcript:

1 Surgical Repair of Cervical Aortic Arch With Brain Circulation Anomaly Through Clamshell Incision 
Toshihito Gomibuchi, MD, Tatsuichiro Seto, MD, Takateru Yamamoto, MD, Ko Nakahara, MD, Noburo Ohashi, MD, Yoshinori Ohtsu, MD, Yuko Wada, MD, Daisuke Fukui, MD, Kenji Okada, MD  The Annals of Thoracic Surgery  Volume 104, Issue 3, Pages e235-e237 (September 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Preoperative computed tomographic angiogram showing a cervical aortic arch, diverticulum, and right subclavian artery aneurysm. (B) Preoperative computed tomographic angiogram showing a brain circulation anomaly. Aplasia of bilateral internal carotid arteries and the right vertebral artery is evident. The Annals of Thoracic Surgery  , e235-e237DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Skin incision. (B) Intraoperative photograph shows the recurrent laryngeal nerve and the aneurysm of ductus arteriosus. We could get a superior exposure through a clamshell incision. (C) Schema of intraoperative photograph. The Annals of Thoracic Surgery  , e235-e237DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Postoperative computed tomographic angiogram. Postoperative computed tomography showed that the aortic arch was replaced with the prosthetic branched graft and was repaired with stent graft. The Annals of Thoracic Surgery  , e235-e237DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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