Hybrid repair with subclavian-to-subclavian bypass and endovascular stenting is a feasible treatment for complicated acute type B aortic dissection with distal arch aneurysm.
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Supports hybrid repair feasibility in select acute type B dissections; leaves open need for larger studies on safety and durability.
Hybrid repair of an acute type B aortic dissection with endovascular stenting and aortic arch debranching is an acceptable treatment in complicated type B dissection. We present the case of a 71-year-old man presenting with acute type B aortic dissection and concomitant aneurysm of the distal aortic arch, who underwent an uneventful hybrid procedure, which involved subclavian-to-subclavian bypass before endovascular stent-graft placement to the aortic arch.
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Uçak et al. (2010) studied this question.
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