Hybrid Techniques for Aortic Arch Aneurysm Repair

Abstract

Open repair of the aortic arch remains the gold standard for aortic aneurysms and dissections. However, in elderly patients with comorbidities, and in patients where prolonged cardiopulmonary bypass time and circulatory arrest may pose a significant risk, hybrid techniques in repairing the aortic arch have become quite attractive. Hybrid arch surgery includes a combination of endovascular and open surgery that allows surgeons to operate on the arch in a safe and expeditious manner with potential decrease in morbidity and mortality.

Keywords: aortic arch atheroma; cardiac surgery; cardiopulmonary bypass; circulatory arrest; deep hypothermic circulatory arrest; minimally invasive surgery; near-infrared spectroscopy.