Hybrid repair of aortic arch aneurysms: combined open arch reconstruction and endovascular repair.
Surgical management of aortic arch aneurysms remains a clinical challenge associated with significant perioperative morbidity and mortality. For the increasingly aging population with significant comorbidities, innovative hybrid aortic arch reconstructive techniques using thoracic endograft technology have been developed in an attempt to improve surgical outcome. With these hybrid arch reconstructive techniques, surgeons have extended the indications and provided an alternative surgical option to patients previously considered prohibitively high risk for conventional open repair of aortic arch aneurysms. Multiple techniques have been described in the literature. In this section, we will present: (1) the current results of hybrid aortic arch repair and (2) a new classification based on the anatomic extent of the aneurysm and the suitability of the landing zones.
Szeto
Wilson Y
WY
Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Hospital of University of Pennsylvania, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania 19104, USA. szetow@uphs.upenn.edu
Bavaria
Joseph E
JE
D000328:Adult; D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D018570:Risk Assessment; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome