Abstract Background Treatment of complex aortic pathologies involving the transverse arch with extensive involvement of the descending aorta remains a surgical challenge. Since clamshell incision provides superior exposure of the entire thoracic aorta. we evaluated the use of this technique for single-stage total arch replacement by arch vessel reconstruction. Methods The arch-first t... https://www.hindigyanvishv.com/flash-deal-Iowa-Cubs-Foam-Finger-p32059-hot-value/