Hybrid treatment of a thoracoabdominal aortic aneurysm in China: report of the first successful case.

Few cases of hybrid repair of thoracoabdominal aneurysm (TAAA) have been reported in Asian countries. The purpose of this article was to report the first successful hybrid repair of TAAA in China. We performed a two-stage hybrid surgical and endovascular procedure to manage a Safi type V TAAA with the celiac artery, superior mesenteric artery and bilateral renal arteries in a 45-year-old male with poor cardiopulmonary reserves. The patient had no complications and is asymptomatic 3 years after the surgery. Despite the fact that the hybrid procedure is based on meticulous techniques, the procedure has seldom been performed in China. In addition to our case report, we also summarize the recently published reports about hybrid repair for TAAA. The hybrid procedure showed a promising midterm outcome for high-risk patients with TAAA, but the late efficacy of this procedure should be evaluated in additional studies.