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  • Title: Surgical repair of aberrant subclavian artery through clamshell approach.
    Author: Hata H, Shibukawa T, Satoh H.
    Journal: Ann Thorac Surg; 2012 Oct; 94(4):1362-4. PubMed ID: 23006703.
    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.
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