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Updated: May 20, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment
Alberto Settembrini1, Daniela Mazzaccaro, Silvia Stegher
1Postgraduate School in Vascular Surgery, Milano, Italy. amsettembrini@gmail.com
Abstract:
Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a contained rupture of aortic arch aneurysm. We treated him with a debranching of supraortic vessels with carotid-carotid and carotid-subclavian bypass and deployment of two enodgrafts in two different times. We consider hybrid treatment for arch and hemiarch a feasible option for aortic arch aneurysms in non emergent and in an emergency setting with an improvement in perioperative morbidity and mortality.
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