Hybrid aortic repair with antegrade supra-aortic and renovisceral debranching from ascending aorta

J Thorac Dis . 2017 May;9(Suppl 6):S539-S543. doi: 10.21037/jtd.2017.04.49.

Fecha de la publicación: 01/05/2017

Autor: José Antonio Del Castro-Madrazo (1), Margarita Rivas-Domínguez (1), Carlota Fernández-Prendes (1), Amer Zanabili Al-Sibbai (1), José Manuel Llaneza-Coto (1), Manuel Alonso-Pérez (1)

Palabras clave: Aortic dissection, hybrid repair, renovisceral, supra-aortic



1Vascular Surgery Department, Hospital Universitario Central de Asturias. Oviedo, Spain.


Aortic dissection is a life threatening condition. Hybrid repair has been described for the treatment of complex aortic pathology such as thoracoabdominal aortic aneurysms (TAAA) and type A and B dissections, although open and total endovascular repair are also possible. Open surgery is still associated with substantial perioperative morbi-mortality rates, thus less invasive techniques such as endovascular repair and hybrid procedures can achieve good results in centers with experience. We present the case of a patient with a chronic type B dissection and TAAA degeneration that was treated in a single stage hybrid procedure with antegrade supra-aortic and renovisceral debranching from the ascending aorta and TEVAR. At three-year follow up, the patient is free of intervention-related complications.

Conflict of interest statement

Conflicts of Interests: The author has no conflicts of interest to declare.