Komooka Masatoshi, Higashiue Shinichi, Kuroyanagi Satoshi, Furuya Onichi, Naito Shiho, Kojima Saburo
Department of cardiovascular surgery, Kishiwada Tokusyukai Hospital, Kishiwada, Osaka, Japan.
Ann Vasc Dis. 2015;8(1):59-61. doi: 10.3400/avd.cr.14-00123. Epub 2015 Mar 25.
This report describes a hybrid endovascular approach to a 9.3-cm saccular aneurysm of the left sided aortic arch combined with an aberrant right subclavian artery. The two-step procedure consisted of a bilateral carotid-subclavian bypass, followed by an ascending aorta-bicarotid bypass and completed by an endovascular exclusion of the aneurysm by covering the whole aortic arch and its branches. The patient had no postoperative complications and was discharged 10 postoperative day. Hybrid procedures may be useful in complex aortic arch pathologies and may reduce postoperative complications in comparison with conventional open surgery.