title: Hybrid repair of aortic arch aneurysm.
abstract: Hybrid repair of thoracic aortic aneurysm has been used with increasing frequency over the past decade, as indications for endovascular therapy have continued to expand. Hybrid techniques may avoid and limit the morbidity and mortality associated with sternotomy or thoracotomy, mechanical circulatory support, and hypothermic arrest. We present the case of a patient with extensive aortic aneurysmal disease initially needing open ascending aortic and subsequent thoracoabdominal repair. However, owing to continued enlargement of the aortic arch, hybrid extrathoracic, extra-anatomic complete aortic arch debranching and transcatheter endografting was ultimately pursued with favorable midterm results.
authors.affiliation: Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA 22908, USA.
authors.forename: Castigliano M
authors.initials: CM
authors.lastname: Bhamidipati
authors.forename: James N
authors.initials: JN
authors.lastname: Irvine
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Hagspiel
authors.forename: Alan H
authors.initials: AH
authors.lastname: Matsumoto
authors.forename: Megan C
authors.initials: MC
authors.lastname: Tracci
authors.forename: John A
authors.initials: JA
authors.lastname: Kern
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome