title: A single stage hybrid repair of a complicated acute type B dissection with aortic arch involvement.
abstract: We present a case in which a single stage hybrid repair was successfully for a complicated acute type B dissection of the aortic arch involvement in a 63-year-old male patient. We performed a combination of different techniques; left subclavian artery debranching, elephant trunk insertion without aortic arch replacement, and thoracic endovascular aortic repair (TEVAR) from antegrade approach. The postoperative course was successful, and the patient was discharged on day 11 after surgery. A-half-year's follow up computed tomography (CT) scan showed shrinkage of thrombus lumen, vascular reverse remodeling.
authors.affiliation: Department of Cardiovascular Surgery, Nagano Chuo Hospital, Nagano, Nagano, Japan.
authors.forename: Rihito
authors.initials: R
authors.lastname: Higashi
authors.affiliation: Department of Cardiovascular Surgery, Nagano Chuo Hospital, Nagano, Nagano, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Matsumura
authors.affiliation: Department of Cardiovascular Surgery, Nagano Chuo Hospital, Nagano, Nagano, Japan.
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Yamaki
keywords: complicated acute type B dissection; hybrid operation; thoracic endovascular aortic repair