title: Hybrid repair of an aortic arch aneurysm rupture in a redo sternotomy.
abstract: OBJECTIVE
  To report a case of operative intervention for an aortic arch aneurysm rupture via a hybrid approach.
  
  
  RESULTS
  Ten years after successful open repair of an acute type A aortic dissection a male presented with a rupture of his distal aortic arch aneurysm. A hybrid procedure was carried out which involved debranching of the innominate and left common carotid arteries and stent-graft deployment landing proximally into the ascending aorta and distally into the descending thoracic aorta.
  
  
  CONCLUSIONS
  Ruptured aortic arch aneurysms present a challenging and complex surgical dilemma. Open repair carries high mortality and pure endovascular repair is unfeasible; hence a hybrid repair presents an attractive solution.
authors.affiliation: Vascular Surgery Department, Alfred Hospital, Commercial Road, Prahran, Vic, 3181, Australia. Electronic address: nguyenvatam@gmail.com.
authors.forename: Tam
authors.initials: T
authors.lastname: Nguyen
authors.affiliation: Vascular Surgery Department, Alfred Hospital, Commercial Road, Prahran, Vic, 3181, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Claydon
authors.affiliation: Vascular Surgery Department, Alfred Hospital, Commercial Road, Prahran, Vic, 3181, Australia.
authors.forename: Silvana
authors.initials: S
authors.lastname: Marasco
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D056346:Sternotomy
keywords: Aneurysm; Aortic arch; Hybrid repair; Rupture