title: "Hybrid" approach for the treatment of aortic arch aneurysm.
abstract: BACKGROUND
  High mortality and morbidity rates are associated with the conventional surgery for aortic arch aneurysm because of cardiopulmonary bypass and deep hypothermic circulatory arrest. In this report, we describe a "hybrid" treatment for aortic arch aneurysm that combines the surgical debranching procedure and the stenting technique.
  
  
  METHODS
  A surgical bypass graft is created from the ascending aorta to every main branch of the aortic arch. Subsequently, an endovascular stent graft is deployed retrogradely through the femoral artery with the aid of digital subtraction angiography.
  
  
  RESULTS
  The patient was discharged on postoperative day 7. A computed tomography scan was routinely performed at 1 week postoperatively to confirm the good patency of all grafts and the stent.
  
  
  CONCLUSIONS
  The feasibility and the benefit of the hybrid treatment for aortic arch aneurysm are confirmed.
authors.affiliation: Cardiothoracic Surgery Department, Zhejiang University Medical College, Hangzhou, China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Wang
authors.forename: Jian'an
authors.initials: J
authors.lastname: Wang
authors.forename: Qicai
authors.initials: Q
authors.lastname: He
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kumar
authors.forename: Ramakanta
authors.initials: R
authors.lastname: Panda
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000295:instrumentation* / Q000379:methods*