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Ann Thorac Surg. 2011 Dec;92(6):2266-8. doi: 10.1016/j.athoracsur.2011.05.045.

Hybrid arch repair including supra-aortic debranching on the descending aorta.

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Department of Cardiovascular Surgery, Keio University, Shinjuku-ku, Tokyo, Japan.


A 49-year-old patient with an anastomotic pseudoaneurysm in the aortic arch was considered at high risk for conventional surgery through a median sternotomy because he had previously undergone several operations to treat aortic dissection and had a deep sternal infection after one procedure. Therefore, a hybrid repair was performed. Stent grafts were placed bridging two previously implanted aortic prostheses, which were in the ascending aorta and descending aorta, respectively. The supra-arch vessels were perfused by means of an extra-anatomic bypass from the descending aorta. The aneurysm was completely excluded from the blood flow, and the patient had no serious complications.

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