Wang Yue, Wang Jian'an, He Qicai, Kumar Sanjay, Panda Ramakanta
Cardiothoracic Surgery Department, Zhejiang University Medical College, Hangzhou, China.
Heart Surg Forum. 2010 Dec;13(6):E350-2. doi: 10.1532/HSF98.20101061.
High mortality and morbidity rates are associated with the conventional surgery for aortic arch aneurysm because of cardiopulmonary bypass and deep hypothermic circulatory arrest. In this report, we describe a "hybrid" treatment for aortic arch aneurysm that combines the surgical debranching procedure and the stenting technique.
A surgical bypass graft is created from the ascending aorta to every main branch of the aortic arch. Subsequently, an endovascular stent graft is deployed retrogradely through the femoral artery with the aid of digital subtraction angiography.
The patient was discharged on postoperative day 7. A computed tomography scan was routinely performed at 1 week postoperatively to confirm the good patency of all grafts and the stent.
The feasibility and the benefit of the hybrid treatment for aortic arch aneurysm are confirmed.
