title: Rapid aortic arch debranching using the Gore hybrid vascular graft.
abstract: A significant fraction of patients who survive repair of a DeBakey type I aortic dissection will require a secondary intervention to address ongoing aortic remodeling. Strategic treatment of this population mandates that the technical feasibility of secondary operations be considered at the index procedure. We evaluated a hybrid-based modification of a widely accepted surgical approach that obviates the need for advanced perfusion management techniques and facilitates secondary endografting. Hybrid technology allows for the physiologic equivalent of a total arch replacement without the operative complexity associated with a traditional approach while allowing for strategic planning if a secondary operation is warranted.
authors.affiliation: Gorman Cardiovascular Research Group, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Levack
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Bavaria
authors.forename: Robert C
authors.initials: RC
authors.lastname: Gorman
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Gorman
authors.forename: Liam P
authors.initials: LP
authors.lastname: Ryan
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000601:surgery*; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011474:Prosthesis Design; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods