Supra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results

Chest radiograph and computed tomography (CT) in a patient with leaking aortic arch aneurysm. Hematoma is apparent on CT.

Per-operative photograph and corresponding completion angiogram in a patient with aortic arch aneurysm. Hybrid procedure with bifurcating graft from ascending aorta to innominate and left carotid artery, followed by endovascular stent graft repair (landing zone 0).

Per-operative photograph (a) of a right to left caroto-carotid bypass graft, with pre- (b) and post-stent graft (c) deployment angiograms.

Per-operative photograph (a) and corresponding completion angiogram (b) of left carotid to left subclavian bypass to preserve a dominant left vertebral artery.

Patient with distal arch aneurysm, with hybrid treatment with caroto-carotid bypass. One year follow-up showed no endoleak, and the aneurysm sac was smaller.