The Hybrid Repair of a Penetrating Ulcer in a Patient With a Bovine Arch; Debranching Followed by Endovascular Stent Placement. (April 2013)

• Record Type: Journal Article
• Authors: Neragi-Miandoab, Siyamek; Jakobleff, William; Lipsitz, Evan; Michler, Robert E.
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 3(2013)
• Page Start: 228
• Page End: 231
• Publication Date: 2013-04
• Subjects: debranching -- aortic arch -- bovine arch -- endovascular stent placement -- hybrid approach -- penetrating ulcer; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574413475884
• Languages: English
• ISSNs: 1538-5744

Abstract

Aortic arch disease has conventionally been a subject for open surgical repair, which may require circulatory arrest, accompanied by a long perfusion and extended cross-clamp time. A 2-stage approach utilizing an elephant trunk procedure followed by a descending aortic replacement, or utilizing a frozen elephant trunk with endovascular extension is not well tolerated by multimorbid patients. On the other hand, the endovascular repair of an aortic arch disease is limited by aortic branching. Hybrid repair consists of revascularization of arch vessels followed by endovascular stenting.