title: [Hybrid treatment of an aortic arch aneurysm].
abstract: Traditional open repair of aortic arch aneurysms is a complex and demanding surgery that requires cardiopulmonary bypass, hypothermia and circulatory arrest, being associated with considerable morbidity and mortality. Even with significant advances in pre-operative assessment and optimization, advanced anaesthetic techniques and intensive care, conventional aortic arch repairs remain amongst the highest risk of across all surgical specialties. Therefore, a hybrid approach with sequential transposition of the supra-aortic branches and endovascular stent-graft placement is a less invasive alternative treatment that opens the indication for repair to more critical patients. We report our institution's first experience in the hybrid surgery of aortic arch aneurysms.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular e Centro de Cirurgia Cardio-Torácica do Hospital de São João, Porto.
authors.forename: P
authors.initials: P
authors.lastname: Dias
authors.forename: A
authors.initials: A
authors.lastname: Silva
authors.forename: V
authors.initials: V
authors.lastname: Monteiro
authors.forename: S
authors.initials: S
authors.lastname: Sampaio
authors.forename: P
authors.initials: P
authors.lastname: Pinho
authors.forename: R
authors.initials: R
authors.lastname: Roncon de Albuquerque
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods