title: The hybrid repair of a penetrating ulcer in a patient with a bovine arch; debranching followed by endovascular stent placement.
abstract: Aortic arch disease has conventionally been a subject for open surgical repair, which may require circulatory arrest, accompanied by a long perfusion and extended cross-clamp time. A 2-stage approach utilizing an elephant trunk procedure followed by a descending aortic replacement, or utilizing a frozen elephant trunk with endovascular extension is not well tolerated by multimorbid patients. On the other hand, the endovascular repair of an aortic arch disease is limited by aortic branching. Hybrid repair consists of revascularization of arch vessels followed by endovascular stenting.
authors: Albert Einstein College of Medicine, Montefiore Medical Center, New York, NY 10467, USA. siyamekneragi@yahoo.com
authors: Siyamek
authors: S
authors: Neragi-Miandoab
authors: William
authors: W
authors: Jakobleff
authors: Evan
authors: E
authors: Lipsitz
authors: Robert E
authors: RE
authors: Michler
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014456:Ulcer / Q000175:diagnosis / Q000601:surgery*