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Ann Cardiothorac Surg. 2013 May;2(3):372-7. doi: 10.3978/j.issn.2225-319X.2013.03.05.

Hybrid aortic arch repair.

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Department of Cardiovascular Surgery, Inselspital, University Hospital Berne, Switzerland;


The successes of thoracic endovascular aortic repair (TEVAR) have spurned new approaches to addressing thoracic aortic pathologies. These hybrid techniques offer an alternative in patients with multi-segmental thoracic aortic pathologies which would have otherwise required a two-step arch replacement and open descending arch repair. The following article offers a clinical insight to the available hybrid approaches, such as rerouting of supra-aortic vessels. Unique complications to endovascular repairs, and technical risks and issues, are also presented along with management options and strategies to minimize such concerns.


Hybrid technique; TEVAR; arterial transposition

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