Commentary: A Tale of Two Operations

Ultra-hybrid repair of thoracoabdominal aortic aneurysms (TAAAs) involves endovascular stenting of the descending thoracic aorta followed by distal open completion with a graft sutured to the distal end of the endograft.1 Hypothesized benefits include avoiding deep hypothermic circulatory arrest (DHCA) and decreasing spinal cord ischemia by allowing vascular collateralization between operations, as demonstrated in porcine models.2,3 Thompson and colleagues evaluate their single-center experience with ultra-hybrid repair among 92 patients undergoing open TAAA repair after prior stenting in the descending thoracic aorta with thoracic endovascular aneurysm repair (75%, n=69), frozen elephant trunk (5.4%, n=5), or both (20%, n=18).
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Commentary Source Type: research