Off-pump hybrid debranching and TEVAR of the aortic arch: Case report

Abstract

Acute aortic syndrome is a life-threatening condition involving several nosological units. The management of aortic arch disease remains a clinical challenge. The standard treatment include surgery with CBP(cardiopulmonary bypass machine) and DHCA(deep hypothermal circulatory arrest). We present a case of patient with intramural hematoma in the aortic arch with subsequent treatment hybrid off-pump aortic vessel debranching, extraanatomical carotid-subclavian bypass and TEVAR. Studies data provide a comparable mortality and ischemic complication results between two approaches. The hybrid off-pump method with fully functional circle of Willis is a good alternative in adult patients with comorbidities and risk factors.