title: Hybrid procedure for proximal arch and descending aortic aneurysms.
abstract: This report describes the feasibility of combined surgical and endovascular repair of extensive pathologies of the aorta with a specially hybrid procedure. An ascending aorta and proximal aortic arch aneurysm, involving the origin of the innominate artery, and a descending thoracic aorta aneurysm were simultaneously repaired in a 65-year-old man. The ascending aorta, proximal arch, and the origin of the innominate artery were replaced by Dacron grafts (InterVascular, Datascope, La Ciotat, France) under circulatory arrest and deep hypothermia. After weaning from extracorporeal circulation, the thoracoabdominal aneurysm was excluded with two endografts deployed in an antegrade fashion through a side branch of the ascending aorta graft.
authors.affiliation: Department of Cardiothoracic Surgery, Juan Canalejo Hospital, A Coruña, Spain.
authors.forename: Victor X
authors.initials: VX
authors.lastname: Mosquera
authors.forename: Vicente
authors.initials: V
authors.lastname: Campos
authors.forename: Milagros
authors.initials: M
authors.lastname: Marini
authors.forename: Jose V
authors.initials: JV
authors.lastname: Valle
authors.forename: Ignacio
authors.initials: I
authors.lastname: Cao
authors.forename: Daniel
authors.initials: D
authors.lastname: Gulias
authors.forename: Alberto
authors.initials: A
authors.lastname: Juffé
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005682:Gadolinium; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D011856:Radiographic Image Enhancement; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D005682:Gadolinium