title: Transposition of the supra-aortic vessels before stent grafting the aortic arch and descending aorta.
abstract: Thoracic endovascular aortic repair has broadened the spectrum of treatment options for various acute and chronic thoracic aortic diseases. In clinical practice, aneurysms of the descending aorta are rarely limited to 1 segment. Thus, various surgical and endovascular options have been developed to offer treatment to those patients with more extended descending thoracic aortic disease. We have summarized the most common methods of arch rerouting, depending on the aortic involvement, emphasizing that these techniques should be used very selectively by experienced cardiovascular surgery teams.
authors.affiliation: Department of Cardiovascular Surgery, Inselspital, University Hospital Berne, Berne, Switzerland. martin.czerny@insel.ch
authors.forename: Martin
authors.initials: M
authors.lastname: Czerny
authors.forename: Martin
authors.initials: M
authors.lastname: Funovics
authors.forename: Maria
authors.initials: M
authors.lastname: Schoder
authors.forename: Christian
authors.initials: C
authors.lastname: Loewe
authors.forename: Johannes
authors.initials: J
authors.lastname: Lammer
authors.forename: Martin
authors.initials: M
authors.lastname: Grabenwöger
authors.forename: Jürg
authors.initials: J
authors.lastname: Schmidli
authors.forename: Thierry
authors.initials: T
authors.lastname: Carrel
authors.forename: Michael
authors.initials: M
authors.lastname: Grimm
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D018579:Patient Selection; D011183:Postoperative Complications / Q000601:surgery; D011474:Prosthesis Design; D012086:Reoperation; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome