Endovascular and open procedures for complex aortic aneurysms in high-risk patients

What is it about?

An editorial about the high risk procedures in a time where the fenestrated endografts were in the beginning. Hybrid approach to TAAA repair consists of open surgical extra-anatomical bypasses providing a suitable proximal and/or distal landing zone and simultaneous or staged thoracic endovascular exclusion of the aneurysm, being less invasive than open surgery in the treatment of complex aortic pathology

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Why is it important?

By avoiding thoracotomy, a hybrid TAAA repair is particularly advantageous in the case of previous descending thoracic aortic repair in which a redo left-sided thoracotomy may be associated with major bleeding, increased rate of postoperative respiratory and organ failure, longer distal aortic perfusion time, longer total aortic clamping time, longer operation time, and reduced long-term survival

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