Hybrid Arch Repair Including Supra-Aortic Debranching on the Descending Aorta

Hybrid thoracic endovascular aortic repair of ascending aortic pseudoaneurysm

“…Other studies have reported restored perfusion of supra-aortic vessels from the left subclavian artery and descending aorta using TEVAR. [4][5][6] In the patient reported here, the distance from the sinus of Valsalva to the left subclavian artery was <10 cm. An endoprosthesis was used cover all supra-aortic vessels from the sinus of Valsalva to ensure complete aneurysmal exclusion; therefore, the supra-aortic vessels could not be used as donor arteries.…”

Cerebral blood flow after hybrid distal hemiarch repair

“…In our previous experience with hybrid repair (33 patients), the source of the blood flow for the bypasses was the aorta. However, avoiding sternotomy and cardiopulmonary bypass has several potential advantages for high-risk patients [6,7]. Because the greatest advantage of a hybrid procedure is its decreased invasiveness compared with open repair, sternotomy should be avoided if possible.…”

A Simplified Arch Debranching Technique for Hybrid Repair of Complicated Type B Aortic Dissection

“…involving repeated sternotomy is technically challenging and is associated with a high risk of catastrophic hemorrhage and death [1,2]. Hybrid repair, which consists of arch debranching and endovascular aortic repair, has been shown to be a promising option for the treatment of complex aortic dissection [3].…”

“…With this technique, the treatment for complicated type B aortic dissection becomes easier and less invasive, which is especially advantageous for patients with high surgical risk for conventional open repair. involving repeated sternotomy is technically challenging and is associated with a high risk of catastrophic hemorrhage and death [1,2]. Hybrid repair, which consists of arch debranching and endovascular aortic repair, has been shown to be a promising option for the treatment of complex aortic dissection [3].…”