A Novel Technique of Deployment of a Thoracic Endograft in the Hybrid Treatment of a Patient With Thoracoabdominal Aneurysm

Novel technique for arch and visceral artery debranching using ascending aortic inflow

Aortic arch aneurysms extending proximally to the left subclavian artery have traditionally been approached through a median sternotomy and a staged elephant trunk procedure requiring a left thoracotomy or thoracoabdominal incision. We describe a novel technique for repair of such aneurysms in a single-stage, hybrid approach using bypass grafts arising from the ascending aorta to all arch and upper abdominal visceral arteries followed by endovascular exclusion of the aortic aneurysm.