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Debranching Concepts and Techniques for Arch Surgery

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Surgical Management of Aortic Pathology

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Abstract

Conventional open repair of aortic arch aneurysms carries the potential for significant morbidity and mortality despite recent advances in available graft materials and perioperative management strategies. The risk of adverse perioperative events is further magnified in the face of elderly, frail, multiply comorbid, or reoperative patients. Extra-anatomic arch “debranching” to create landing zones in the proximal aorta or aortic arch allows for the use of endovascular techniques to treat arch pathologies and subsequently serves as the foundation for “hybrid” repair of the aortic arch.

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Authors and Affiliations

  1. Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA

    Ehsan Benrashid, Nicholas D. Andersen & G. Chad Hughes

  2. Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA

    Richard L. McCann

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  1. Ehsan Benrashid
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  2. Nicholas D. Andersen
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  3. Richard L. McCann
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  4. G. Chad Hughes
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Correspondence to G. Chad Hughes .

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Editors and Affiliations

  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Benrashid, E., Andersen, N.D., McCann, R.L., Chad Hughes, G. (2019). Debranching Concepts and Techniques for Arch Surgery. In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_72

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