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Updated: Apr 20, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Hybrid repair of an aortic arch aneurysm rupture in a redo sternotomy
Tam Nguyen1, Matthew Claydon1, Silvana Marasco1
1Vascular Surgery Department, Alfred Hospital, Commercial Road, Prahran, Vic, 3181, Australia.
Purpose:
To report a case of operative intervention for an aortic arch aneurysm rupture via a hybrid approach.
Methods And Results:
Ten years after successful open repair of an acute type A aortic dissection a male presented with a rupture of his distal aortic arch aneurysm. A hybrid procedure was carried out which involved debranching of the innominate and left common carotid arteries and stent-graft deployment landing proximally into the ascending aorta and distally into the descending thoracic aorta.
Conclusions:
Ruptured aortic arch aneurysms present a challenging and complex surgical dilemma. Open repair carries high mortality and pure endovascular repair is unfeasible; hence a hybrid repair presents an attractive solution.

