Hybrid Aortic Arch Repair Using a Ministernotomy
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Vishal N Shah1, Oleg I Orlov1, Robert J Meisner2
1Department of Cardiothoracic Surgery, Lankenau Medical Center, Wynnewood, PA, USA.
Vascular and Endovascular Surgery
|November 12, 2019
Abstract:
Hybrid thoracic endovascular aortic repair with surgical arch debranching is an accepted method for total arch reconstruction. Although off-pump arch debranching is increasingly used as a prophylactic adjunct to endovascular arch repair extending into landing zone 0, this technique is seldom performed with a ministernotomy due to a steep learning curve among surgeons. Herein, we report our standard technique for off-pump hybrid total aortic arch repair using a ministernotomy.

