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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 3  |  Page : 91-95

Hybrid completion of aortic repair after type A aortic dissection in a patient with Marfan's syndrome


1 Department of Cardiac Surgery, Royal Brompton Hospital, London, UK
2 Department of Cardiology, Royal Brompton Hospital, London, UK

Correspondence Address:
Christoph A Nienaber
Royal Brompton Hospital, Sydney Street, London, SW3 6NP
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_62_16

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Medicine and engineering are in collaboration to assist in the tackling of daunting surgical techniques which are associated with high rates of morbidity and mortality, in exchange for minimally invasive approaches with lower procedural risk. Endovascular procedures in general have already reduced the risk of surgery by limiting the extent of open surgery and often replacing it with purely percutaneous or hybrid procedures. Here, we describe a patient who had complex staged surgery with open repair of a proximal portion of a type A aortic dissection followed by a staged endovascular reconstruction of the arch and descending aorta by means of a fenestrated stent-graft to secure the left subclavian artery and the posterior cerebral circulation.


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