Open aortic arch surgery: the gold standard method

  • Amer Harky
  • Mohamad BashirEmail author
  • Athanasios Antoniou
  • Haris Bilal
Review Article


Aortic arch pathologies are complex and treating them requires close team collaboration and technical skills to provide safe outcomes with low morbidity and mortality rates. Such challenges are facing both aortic and vascular surgeons. Open aortic arch repair has been the standard method of practice in all cases of aortic arch pathologies for the last four decades since the very first successful published case series by Griepp et al. during 1975. However, since then, repair of multi-segmented thoracic aortic pathologies has been explored through endovascular techniques; this is with or without open repair as a one-stage procedure especially in high-risk and elderly patients. Although the role of endovascular techniques in thoracoabdominal aorta is well established, its utilization as solo technique in aortic arch pathologies remains debatable. In this review, we highlight current evidences behind using open, endovascular, and hybrid procedures in aortic arch surgery.


Aortic surgery Aortic arch Hybrid aortic surgery 


Compliance with ethical standards

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent


Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Amer Harky
    • 1
    • 2
  • Mohamad Bashir
    • 3
    Email author
  • Athanasios Antoniou
    • 4
  • Haris Bilal
    • 3
  1. 1.Department of Vascular SurgeryCountess of Chester HospitalChesterUK
  2. 2.Department Cardiothoracic SurgeryNorthwest Deanery, Health Education EnglandManchesterUK
  3. 3.Department of Aortovascular SurgeryManchester Royal InfirmaryManchesterUK
  4. 4.Barts Heart Centre, St Bartholomew’s HospitalLondonUK

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