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Hybrid repair of aortic arch aneurysm in high-risk patients.

06:00 EDT 6th August 2010 | BioPortfolio

Summary of "Hybrid repair of aortic arch aneurysm in high-risk patients."


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.

Affiliation

aDepartment of Cardiothoracic Surgery, Division of Cardiac Surgery, Italy bDivison of Vascular Surgery, Italy cDivision of Radiology, San Giovanni Battista Hospital, University of Turin, Turin, Italy.

Journal Details

This article was published in the following journal.

Name: Journal of cardiovascular medicine (Hagerstown, Md.)
ISSN: 1558-2035
Pages:

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