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Related Concept Videos

The Arch of Aorta01:10

The Arch of Aorta

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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
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Related Experiment Video

Updated: May 4, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Hybrid debranching technique for aortic arch replacement.

Martin Czerny1, Bettina Pfannmüller, Michael A Borger

  • 1Department of Cardiovascular Surgery, Inselspital, University Hospital Berne, Freiburgstrasse, 3010 Berne, Switzerland.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary

A complex thoracic aortic aneurysm was treated using a hybrid approach. This involved open repair of the ascending aorta and endovascular repair of the remaining diseased aorta.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Thoracic Surgery

Background:

  • Multisegmental thoracic aortic aneurysms (mTAAs) present complex surgical challenges.
  • These aneurysms involve extensive portions of the thoracic aorta, requiring tailored treatment strategies.

Purpose of the Study:

  • To describe the successful management of a patient with a large mTAA.
  • To highlight the efficacy of a combined open and endovascular surgical approach for complex aortic disease.

Main Methods:

  • The patient underwent ascending aortic replacement with a composite graft.
  • Supraaortic branches were reconstructed using an autologous double transposition technique.
  • The remaining aneurysm was treated with endovascular stent-graft placement.

Main Results:

  • The combined approach successfully addressed the multisegmental thoracic aortic aneurysm.
  • The patient tolerated the procedure well with no immediate complications.

Conclusions:

  • A hybrid surgical strategy combining open and endovascular techniques is a viable option for complex mTAAs.
  • This approach allows for complete aneurysm exclusion and preservation of supraaortic vessel patency.