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Highlights hybrid open and endovascular techniques for aortic arch repair in high-risk patients, suggesting potential reductions in operative morbidity and mortality.
Open repair of the aortic arch remains the gold standard for aortic aneurysms and dissections. However, in elderly patients with comorbidities, and in patients where prolonged cardiopulmonary bypass time and circulatory arrest may pose a significant risk, hybrid techniques in repairing the aortic arch have become quite attractive. Hybrid arch surgery includes a combination of endovascular and open surgery that allows surgeons to operate on the arch in a safe and expeditious manner with potential decrease in morbidity and mortality.
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Sultan et al. (2016) studied this question.
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