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CC BY 4.0 · Aorta (Stamford) 2019; 07(06): 176-178
DOI: 10.1055/s-0039-3401996
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Single-Stage Hybrid Arch Repair for Patients with Shaggy Aorta

Yasuhisa Oishi 
1   Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan
,
Satoshi Kimura
1   Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan
,
Hiromichi Sonoda
1   Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan
,
Akira Shiose 
1   Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan
› Author Affiliations Funding None.
Further Information

Publication History

22 July 2018

03 November 2019

Publication Date:
12 February 2020 (online)

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Abstract

Operating on extended arch aneurysms that contain severe atherosclerotic plaques is difficult. In such cases, the incidence of intraoperative multiple embolization is very high. We applied single-stage hybrid arch repair, which involved ascending aorta replacement and debranching of arch vessels, consecutively with endovascular repair for two patients. This technique was developed to prevent embolization of atherosclerotic plaques during cardiopulmonary bypass, and abrasion of the plaques during thoracic endovascular repair. Both patients recovered without embolic complications.

Keywords

arch aneurysm - shaggy aorta - hybrid operation
 

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