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Zone 0 thoracic branch endoprosthesis with aortic arch debranching
Philip Skummer1, Paul Dyrud2, Brandon Key1
1Division of Vascular and Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, WI.
Journal of Vascular Surgery Cases and Innovative Techniques
|October 23, 2026
Abstract:
We present a case of staged arch debranching with subsequent zone 0 branched thoracic aortic endograft in a patient with a bovine arch. Open surgery is the historic gold standard for aortic arch repair. However, poor operative candidates may be unable to tolerate sternotomy and circulatory arrest required for repair. This case highlights a staged hybrid endovascular and open approach to repairing a progressively aneurysmal aortic arch.
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