[Clamshell incision plus full sternotomy as a complex approach to complicated aortic arch aneurysm]

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Aortic Aneurysm Research

Background:

• Aortic arch aneurysm repair presents significant surgical challenges.
• Marfan syndrome and pectus excavatum increase surgical complexity.
• Previous Bentall procedure necessitates careful surgical planning.

Observation:

• A young woman with Marfan syndrome, severe pectus excavatum, and a history of Bentall procedure presented with a ruptured aortic arch aneurysm.
• Emergency surgical intervention was required.

Findings:

• A successful surgical approach was achieved using a clamshell incision combined with median re-sternotomy.
• This combined incision provided adequate exposure for complex aortic arch aneurysm repair.

Implications:

• This technique may offer a viable option for managing complex aortic arch pathologies.
• Further research could explore the broader applicability of this combined approach in high-risk patients.
• Improved surgical strategies are crucial for better outcomes in aortic surgery.