Off pump hybrid extra-anatomic techniques for aortic arch repair-own experience

Area of Science:

• Cardiovascular Surgery
• Endovascular Interventions
• Aortic Pathologies

Background:

• Aortic arch pathologies present significant treatment challenges.
• Hybrid aortic arch repair integrates surgical and endovascular approaches.

Purpose of the Study:

• To evaluate the early and late outcomes of hybrid aortic arch repair.
• To assess the safety and efficacy of this combined therapeutic strategy.

Main Methods:

• 21 patients with aortic arch pathologies underwent hybrid procedures.
• Procedures involved extra-anatomic surgical techniques and thoracic endovascular aortic repair (TEVAR).
• No cardiopulmonary bypass was used; patients were followed up for mortality and morbidity.

Main Results:

• Technical success was achieved in all patients undergoing TEVAR.
• In-hospital mortality was 9.5% (2/21) due to multi-organ failure.
• Late complications included one death from sepsis, and three cases of vascular graft occlusion.

Conclusions:

• Hybrid aortic arch repair is an attractive and safe therapeutic option.
• The procedure demonstrates acceptable mortality and morbidity rates.
• It is a viable treatment choice for elderly and high-risk patients.