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  • Title: Hybrid repair of aortic arch aneurysm in high-risk patients.
    Author: Campanella A, Rinaldi M, Rispoli P, Gandini G.
    Journal: J Cardiovasc Med (Hagerstown); 2011 Feb; 12(2):138-44. PubMed ID: 20686413.
    Abstract:
    OBJECTIVES: Morbidity and mortality after conventional surgery of aortic arch aneurysms remain high. Alternative techniques are the subject of this report. METHODS AND RESULTS: Open surgery requires cardiopulmonary bypass and hypothermic circulatory arrest. Thoracic endovascular aneurysm repair has a less invasive therapeutic alternative. The number of high-risk patients has considerably increased over the past decade. The proximity of the aneurysm to the supraaortic vessels makes it difficult to achieve a satisfactory proximal landing zone for endovascular stenting. Two methods have been proposed to address this issue: branched stent grafts and extraanatomic bypass, defined as a hybrid approach, which combines aortic debranching and endovascular procedures. Experience with hybrid repair is limited. Today there are no formal guidelines for the management of aortic arch aneurysm in high-risk patients. CONCLUSION: Hybrid repair of aortic arch aneurysm in high-risk patients is a feasible and safer option.
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