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Debranching Concepts and Techniques for Arch Surgery

  • Ehsan Benrashid
  • Nicholas D. Andersen
  • Richard L. McCann
  • G. Chad HughesEmail author
Chapter

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.

Keywords

Aneurysm Aortic arch Aortic debranching Endovascular aneurysm repair Hybrid arch repair 

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Ehsan Benrashid
    • 1
  • Nicholas D. Andersen
    • 1
  • Richard L. McCann
    • 2
  • G. Chad Hughes
    • 1
    Email author
  1. 1.Division of Cardiovascular and Thoracic Surgery, Department of SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Division of Vascular Surgery, Department of SurgeryDuke University Medical CenterDurhamUSA

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