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Case Reports

Hybrid Procedure for Proximal Arch and Descending Aortic Aneurysms

^a Department of Cardiothoracic Surgery, Juan Canalejo Hospital, A Coruña, Spain
^b Department of Interventional Radiology, Juan Canalejo Hospital, A Coruña, Spain

Accepted for publication April 25, 2008.

^_* Address correspondence to Dr Mosquera, Cardiac Surgery Department, Hospital Juan Canalejo, As Xubias 84, A Coruña, CP 15006, Spain (Email: vxmr{at}yahoo.es).

This report describes the feasibility of combined surgical and endovascular repair of extensive pathologies of the aorta with a specially hybrid procedure. An ascending aorta and proximal aortic arch aneurysm, involving the origin of the innominate artery, and a descending thoracic aorta aneurysm were simultaneously repaired in a 65-year-old man. The ascending aorta, proximal arch, and the origin of the innominate artery were replaced by Dacron grafts (InterVascular, Datascope, La Ciotat, France) under circulatory arrest and deep hypothermia. After weaning from extracorporeal circulation, the thoracoabdominal aneurysm was excluded with two endografts deployed in an antegrade fashion through a side branch of the ascending aorta graft.