Hybrid aortic repair with antegrade supra-aortic and renovisceral debranching from ascending aorta

Aortic dissection is a life threatening condition. Hybrid repair has been described for the treatment of complex aortic pathology such as thoracoabdominal aortic aneurysms (TAAA) and type A and B dissections, although open and total endovascular repair are also possible. Open surgery is still associ...

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Bibliographic Details
Published in:Journal of thoracic disease 2017-05, Vol.9 (Suppl 6), p.S539-S543
Main Authors: Del Castro-Madrazo, José Antonio, Rivas-Domínguez, Margarita, Fernández-Prendes, Carlota, Zanabili Al-Sibbai, Amer, Llaneza-Coto, José Manuel, Alonso-Pérez, Manuel
Format: Article
Language:English
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Case Report
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Summary:Aortic dissection is a life threatening condition. Hybrid repair has been described for the treatment of complex aortic pathology such as thoracoabdominal aortic aneurysms (TAAA) and type A and B dissections, although open and total endovascular repair are also possible. Open surgery is still associated with substantial perioperative morbi-mortality rates, thus less invasive techniques such as endovascular repair and hybrid procedures can achieve good results in centers with experience. We present the case of a patient with a chronic type B dissection and TAAA degeneration that was treated in a single stage hybrid procedure with antegrade supra-aortic and renovisceral debranching from the ascending aorta and TEVAR. At three-year follow up, the patient is free of intervention-related complications.
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2017.04.49