Hybrid Endovascular and Open Interventions for Aortic Disease.

Abstract

Traditional open surgical repair of aortic disease distal to the ascending aorta has long been associated with significant morbidity and mortality. Two specific anatomic locations of disease have proven especially challenging to manage; the transverse aortic arch and the thoracoabdominal aorta. Hybrid approaches have the potential to limit or even eliminate the need for cardiopulmonary bypass and hypothermic circulatory arrest, thus carrying the promise of improved patient outcomes. This manuscript discusses the hybrid approach to aortic repair and recent advances made in this combined multidisciplinary approach used in these treatments.