title: Hybrid arch repair including supra-aortic debranching on the descending aorta.
abstract: A 49-year-old patient with an anastomotic pseudoaneurysm in the aortic arch was considered at high risk for conventional surgery through a median sternotomy because he had previously undergone several operations to treat aortic dissection and had a deep sternal infection after one procedure. Therefore, a hybrid repair was performed. Stent grafts were placed bridging two previously implanted aortic prostheses, which were in the ascending aorta and descending aorta, respectively. The supra-arch vessels were perfused by means of an extra-anatomic bypass from the descending aorta. The aneurysm was completely excluded from the blood flow, and the patient had no serious complications.
authors: Department of Cardiovascular Surgery, Keio University, Shinjuku-ku, Tokyo, Japan. hideyuki@sc.itc.keio.ac.jp
authors: Hideyuki
authors: H
authors: Shimizu
authors: Takashi
authors: T
authors: Hachiya
authors: Kentaro
authors: K
authors: Yamabe
authors: Ryohei
authors: R
authors: Yozu
mesh_terms: D017541:Aneurysm, False / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged