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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Hybrid treatment of an aortic arch aneurysm]
1Serviço de Angiologia e Cirurgia Vascular e Centro de Cirurgia Cardio-Torácica do Hospital de São João, Porto.
Abstract:
Traditional open repair of aortic arch aneurysms is a complex and demanding surgery that requires cardiopulmonary bypass, hypothermia and circulatory arrest, being associated with considerable morbidity and mortality. Even with significant advances in pre-operative assessment and optimization, advanced anaesthetic techniques and intensive care, conventional aortic arch repairs remain amongst the highest risk of across all surgical specialties. Therefore, a hybrid approach with sequential transposition of the supra-aortic branches and endovascular stent-graft placement is a less invasive alternative treatment that opens the indication for repair to more critical patients. We report our institution's first experience in the hybrid surgery of aortic arch aneurysms.
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