05 April 2026
: Case report 
Arch-First Technique for Extensive Thoracic Aortic Replacement: A Case Series of Patients With Complex Thoracic Aortic Disease
Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Vlasios Karageorgos ABCDEF 1, Matias Matthew Chamogeorgakis ABEF 2, Konstantinos Ieromonachos BCDEF 2, Antigoni Koliopoulou BDEF 2, Nikolaos A. Papakonstantinou
BCDEF 2, Panagiotis Latsonas BCDEF 2, Eris Ntylgia BCDEF 2, Athanasios Katsargyris BCDEF 3, Christos Klonaris BCDEF 3, Themistoklis Chamogeorgakis ABCDEFG 2*
DOI: 10.12659/AJCR.951286
Am J Case Rep 2026; 27:e951286
Figure 6 Intraoperative exposure of the ascending aorta and arch via clamshell incision. Intraoperative view through a clamshell incision demonstrating surgical exposure of the extensively dilated ascending aorta (70×78 mm; green dotted area) and aortic arch (46 mm). Arch vessels were identified and isolated using vessel loops.