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Updated: Jul 6, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Extensive total arch replacement via clamshell incision in a patient with aortic arch aneurysm and Stanford type B
Hideyuki Shimizu1, Tatsuo Takahashi, Masataka Yamazaki
1Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. hideyuki@sc.itc.keio.ac.jp
Abstract:
The utility of the clamshell approach, namely, a bilateral anterior thoracotomy incision for treating extensive thoracic aortic disease was described by Kouchoukos et al. in 2001 and by Doss et al. in 2003. We describe the utility of this approach for treating aortic arch aneurysm with Stanford type B aortic dissection.
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