Staged hybrid approach for acute type A aortic dissection: zone 2 arch replacement and completion thoracic endovascular aortic repair upon indication

Zone 2 aortic arch replacement with debranching in acute type A aortic dissection can be performed safely. Selective pre-emptive thoracic endovascular aortic repair promoted favourable remodelling, potentially reducing the need for complex, open surgical reinterventions.