Author/Authors :
NASSEF, AHMAD Cairo University - General Surgery, Egypt , NASSEF, AHMAD Sheffield Teaching Hospitals - Department of Vascular Surgery, UK , COOPER, GRAHAM Sheffield Teaching Hospitals - Department of Cardiothoracic Surgery, UK , MASSEY, NICK Sheffield Teaching Hospitals - Department of Cardiothoracic Anaesthesia, UK , GAINES, PETER Sheffield Teaching Hospitals - Department of Radiology, UK
Abstract :
Background and Objective: Despite advances in surgical technique and intensive care medicine, the mortality and morbidity of standard single or two staged approaches lor the management of arch aortic aneurysms remain extremely high. With the elephant trunk technique, some patients never proceed to completion of treatment either because of worsening co morbidity or interim rupture. Retrograde thoracic endografting is not always feasible and its complications are well known. This study examines the use of a hybrid approach for treating arch aneurysms in one stage. The technique combines open aortic arch debranching with antegrade stent graft repair of these aneurysms.
