Key result
A two-stage hybrid off-pump procedure consisting of aortocarotid and coronary bypasses followed by endovascular stent grafting successfully excluded aortic arch ulcers with patent bypasses at 4 months.
Case Report (n=1)
No
A hybrid off-pump approach combining surgical bypass and endovascular stent grafting offers an alternative to conventional surgery with cardiopulmonary bypass for aortic arch ulcers.
May offer an option for high-risk aortic arch ulcers; hypothesis-generating and requires prospective validation before practice change.
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Urban et al. (2008) conducted a case report in Atherosclerotic ulcers of the aortic arch (n=1). Hybrid off-pump management (aortocarotid bypass, CABG, and endovascular stent graft) was evaluated on Successful exclusion of atherosclerotic ulcers and patency of bypasses. A two-stage hybrid off-pump procedure consisting of aortocarotid and coronary bypasses followed by endovascular stent grafting successfully excluded aortic arch ulcers with patent bypasses at 4 months.
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