Hybrid procedures for thoracoabdominal aortic aneurysms and chronic aortic dissections – A single center experience in 28 patients

Illustration shows the preferred inflow anastomotic site for a staged procedure.

Illustration and intraoperative photograph demonstrates technical approaches of infrarenal replacement and inverted bi-/trifurcated graft as donor vessels for debranching renal and visceral arteries.

Pre- and postoperative computed tomography angiography (CTA) showing a thoracoabdominal aortic aneurysm Crawford type III being treated successfully with hybrid procedure.

Computed tomography angiography (CTA) axial views demonstrate preoperative (A), 3 months (B), and 35 months (C) follow-up examination with relevant aneurysm shrinkage.

Kaplan-Meier survival plots of the total cohort of patients (A) and of subgroups with different time approach (B).

MRA and digital subtraction angiography showing a significant endoleakage originating from an unligated celiac trunk.