title: Two cases of thoracic aortic aneurysm with right aortic arch: comparison of two operative strategies for hybrid thoracic endovascular repair.
abstract: Hybrid TEVAR was performed in 2 patients with right aortic arch accompanied by Kommerell's diverticulum and aortic aneurysm. In patient 1, total debranch + TEVAR was performed with 1-stage median sternotomy. In patient 2, total arch replacement and insertion of a peripheral elephant trunk were performed first, followed by TEVAR. No endoleaks or aortic events were observed in either case during the observation period, and both patients had good postoperative clinical courses. We report our experience with two such cases that were treated with two different methods of hybrid TEVAR, and discuss the merits and demerits of each treatment method.
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Onohara
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kishimoto
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Shingo
authors.initials: S
authors.lastname: Harada
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Fujiwara
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Munehiro
authors.initials: M
authors.lastname: Saiki
authors.affiliation: Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nishimura
keywords: aortic aneurysm; endovascular surgery; thoracic