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Hybrid Off-Pump Debranching and Thoracic Endovascular Arch Repair in a High-Risk Surgical Patient
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  • Olina Dagher,
  • Marina Ibrahim,
  • Grégoire Cousin,
  • Jean-Francois Dorval,
  • philippe demers,
  • Nicolas Dürrleman
Olina Dagher
Libin Cardiovascular Institute of Alberta

Corresponding Author:[email protected]

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Marina Ibrahim
Institut De Cardiologie de Montreal
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Grégoire Cousin
Institut De Cardiologie de Montreal
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Jean-Francois Dorval
Institut De Cardiologie de Montreal
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philippe demers
Institut De Cardiologie de Montreal
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Nicolas Dürrleman
Institut De Cardiologie de Montreal
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Abstract

Management of aortic arch pathologies remains challenging. Open total arch replacements have been associated with significant morbidity and mortality owing to the need for cardiopulmonary bypass and circulatory arrest. On the other hand, aortic arch branched stent grafts are not widely available. In this context, hybrid techniques combining open arch debranching with endovascular graft placement have been identified as an attractive option in select patients. However, there still is a paucity of literature on their application and outcomes. A case is presented of an elderly frail patient diagnosed with a pseudoaneurysm of the aortic arch and who was successfully treated by an off-pump arch debranching followed by endovascular arch repair. This case highlights (i) the feasibility of hybrid debranching techniques, (ii) their technical challenges, and (iii) the need for long-term follow-up data.
08 Jun 2022Submitted to Journal of Cardiac Surgery
09 Jun 2022Submission Checks Completed
09 Jun 2022Assigned to Editor
28 Jun 2022Reviewer(s) Assigned
14 Oct 2022Review(s) Completed, Editorial Evaluation Pending
24 Oct 2022Editorial Decision: Accept
Dec 2022Published in Journal of Cardiac Surgery volume 37 issue 12 on pages 5567-5570. 10.1111/jocs.17174