title: Hybrid Repair of Aortic Arch Aneurysms with Endografting of the Ascending Aorta.
abstract: BACKGROUND
  Different "hybrid" techniques that combine open debranching of the supra-aortic vessels with endografting of the aortic arch have emerged as alternatives to the open arch repair in high-risk patients. This study aims to review the early and mid-term results of single-stage hybrid arch repair with ascending aorta stent graft deployment for aortic arch aneurysms and dissections.
  
  
  METHODS
  Between June 2006 and May 2015, five consecutive patients, with an age range of 54-78 years, with complex aortic arch diseases, were treated with a hybrid approach in which the endograft had a proximal landing zone in the ascending aorta. Indications included: acute and chronic type A aortic dissections and three arch aneurysms associated with distal aortic pathology. Length of postoperative clinical and imaging follow-up ranged from 10 to 121 months and was completed in all patients.
  
  
  RESULTS
  Technical success of the endografting was achieved in all cases. There was one in-hospital mortality secondary to pulmonary embolism, one case of retrograde type A aortic dissection (RTAD) detected before discharge and one case of late type Ib endoleak that required an endografting procedure. No postoperative stroke or transient or permanent spinal cord ischemia occurred.
  
  
  CONCLUSIONS
  Hybrid arch repair with endograft landing in zone 0 may decrease mortality and morbidity in high-risk patients. doi: 10.1111/jocs.12735 (J Card Surg 2016;31:341-347).
authors.affiliation: Department of Cardiac Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Bibiloni Lage
authors.affiliation: Department of Vascular Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Calsina Juscafresa
authors.affiliation: Department of Cardiac Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: Cristian
authors.initials: C
authors.lastname: Delgado Domínguez
authors.affiliation: Department of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: José Ignacio
authors.initials: JI
authors.lastname: Bilbao Jaureguizar
authors.affiliation: Department of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: Gorka
authors.initials: G
authors.lastname: Bastarrika
authors.affiliation: Department of Cardiac Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Rábago Juan-Aracil
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome