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. 2022 Aug 6:15:18-21.
doi: 10.1016/j.xjtc.2022.07.021. eCollection 2022 Oct.

A hybrid aortic re-arching technique

Fuyuki Hirashima  1   2 , Marek Polomsky  1   2 , Willie Dong  2 , Jennifer L Risi  2 , Chris K Rokkas  1
Affiliations

A hybrid aortic re-arching technique

Fuyuki Hirashima et al. JTCVS Tech. .
No abstract available

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Figures

None
Re-arching technique: Bypass grafts to the aortic arch branches.
Figure 1
Figure 1
Aneurysm of the distal aortic arch associated with a penetrating atherosclerotic ulcer (arrows).
Figure 2
Figure 2
The re-arching technique: Bypass grafts to the aortic arch branches. A: Aorta to left common carotid artery bypass. B: Aorta to left axillary artery bypass. C: Interposition bypass graft to the right axillary artery.
Figure 3
Figure 3
Completion angiography following deployment of endovascular graft to zone 0 shows opacification of the aortic arch branches and obliteration of the aneurysm.
Figure E1
Figure E1
Intraoperative view following completion of bypass grafts. A: Aorta to left common carotid artery bypass. B: Aorta to left axillary artery bypass. C: Interposition bypass graft to the right axillary artery.
See this image and copyright information in PMC

References

    1. Hage A., Ginty O., Power A., Dubois L., Dagenais F., Appoo J.J., et al. Management of the difficult left subclavian artery during aortic arch repair. Ann Cardiothorac Surg. 2018;7:414–421. - PMC - PubMed
    1. Cao P., De Rango P., Czerny M., Evangelista A., Fattori R., Nienaber C., et al. Systematic review of clinical outcomes in hybrid procedures for aortic arch dissections and other arch diseases. J Thorac Cardiovasc Surg. 2012;144:1286–1300. 1300.e1-2. - PubMed
    1. Milewski R.K., Szeto W.Y., Pochettino A., Moser G.W., Moeller P., Bavaria J.E. Have hybrid procedures replaced open aortic arch reconstruction in high-risk patients? A comparative study of elective open arch debranching with endovascular stent graft placement and conventional elective open total and distal aortic arch reconstruction. J Thorac Cardiovasc Surg. 2010;140:590–597. - PubMed
    1. Canaud L., Ziza V., Ozdemir B.A., Berthet J.P., Marty-Ane C.H., Alric P. Oucomes of left subclavian artery transposition for hybrid aortic arch debranching. Ann Vasc Surg. 2017;40:94–97. - PubMed
    1. Kollias V.D., Lozos V., Angouras D., Toumpoulis I., Rokkas C.K. Single-stage, off-pump hybrid repair of extensive aneurysms of the aortic arch and the descending thoracic aorta. Hellenic J Cardiol. 2014;55:355–360. - PubMed

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