ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Hybrid approaches in complex aortic arch pathologies
Levent Yılık, Tevfik Güneş
İzmir Atatürk Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, İzmir
DOI : 10.5606/tgkdc.dergisi.2011.04Suppl2

Abstract

In the recent years, aortic arch surgery has reached a level that can be performed with much lower morbidity and mortality rates when compared with the past years. Although the conventional open surgical repair including graft interposition is thought to be the definitive treatment modality, it still has high mortality and morbidity rates, particularly in high-risk patients. Endovascular repair of the aortic pathologies is a less invasive treatment option for many aortic pathologies. Application of an endoprosthesis may be limited in the presence of aortic arch involvement, since it might be necessary to occlude the orifices of one or more branches of the aortic arch for sufficient proximal and distal fixation of the endograft and exclusion of the aneurysm. Debranching bypass procedures are performed to create sufficient length for proximal or distal landing zone. In conclusion, particularly useful in high risk patients, minimizing the invasiveness of the conventional procedure is aimed by avoiding aortic cross-clamping, cardiopulmonary bypass or total circulatory arrest. In this paper; the indications, application techniques, and earlyand mid-term results of the hybrid interventions in complex aortic arch pathologies were discussed. Moreover, our clinical experience was summarized.
Keywords : Aneurysm, dissection/mortality; circulatory arrest; endoluminal repair
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