The Trap Door Incision for Vascular Procedures

Figure 1. CT angiogram of chest: bold arrow indicates left subclavian artery aneurysm with intraluminal thrombus. Blank arrow indicates first rib compressing over left subclavian artery. The empty arrow head points at the intraluminal subclavian artery aneurysm thrombus.

Figure 1. CT angiogram of chest: bold arrow indicates left subclavian artery aneurysm with intraluminal thrombus. Blank arrow indicates first rib compressing over left subclavian artery. The empty arrow head points at the intraluminal subclavian artery aneurysm thrombus.

In the April issue of Vascular Disease Management, authors Elias Kfoury, MD, Paul D. Kiernan, MD, and Dipankar Mukherjee, MD, discuss a vascular technique used in a case of thoracic outlet syndrome with subclavian artery aneurysm. As discussed by the authors, a modified “trap door” incision has been used for subclavian artery trauma, Paget-Schroetter syndrome, and subclavian artery aneurysm. The trap door approach is minimally invasive and avoids full sternotomy.

Read “Modified ‘Trap Door’ Approach for Thoracic Outlet Syndrome Complicated by Subclavian Artery Aneurysm” for more from these authors on the trap-door approach in this case.

 

 

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