Is there a prospect for hybrid aortic arch surgery?

SPECIAL EDITION Controversies in Surgery for Thoracic Aorta
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Abstract

The surge of endovascular repair of aortic aneurysm in current modern aortic surgery practice has been the key for surgical management of elective cases of thoracic aortic aneurysms. This has paved way for the combined hybrid approach to be amongst the armamentarium for the management of aortic arch disease. The pivotal understanding of the aortic arch natural history coupled with device technology advancement allowed surgeons insight into delivery of hybrid surgery with acceptable morbidity and mortality results. This review article provides current insights into hybrid technique of aortic arch aneurysm repair and the evidences behind its applicability to arch surgery. It is aimed to highlight the challenges encountered for this innovative approach and correlate its challenges to those that are met by the conventional open aortic arch repair.

Keywords

Aortic surgery Aortic arch Hybrid Endovascular Arch aneurysm 

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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  1. 1.Department of Cardiac Surgery, Barts Heart CentreSt. Bartholomew’s HospitalLondonUK
  2. 2.Department of Cardiothoracic SurgeryNorthwest DeaneryLiverpoolUK
  3. 3.Manchester Royal InfirmaryManchesterUK

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