BACKGROUND: The aim of this study was to evaluate the short-term and midterm results of hybrid repair of dissecting @entity449 subsequent to surgical treatment of acute type A dissections. METHODS: Between 2003 and 2014, 7 consecutive @entity1 , previously operated for acute type A dissection, underwent hybrid repair of their aortic arch for a dissecting @entity449 (6 @entity1 , mean age 62    11  years). @entity439 formation requiring treatment in these aortic arches was observed from 2 to 20  years after the initial aortic dissection repair. A hybrid technique was used in all @entity1 , with supra-aortic debranching through a redo sternotomy and either simultaneous (6 @entity1 ) or staged endovascular stent grafting (1 @entity1 ). Two @entity1 were treated in an emergent setting (1 ruptured and 1 symptomatic @entity439 ). Two @entity1 required a more extensive aortic repair of either the thoracic aorta (n, 1) or of the thoracoabdominal aorta (n, 1). One @entity1 underwent, saphenous vein bypass from the ascending aorta to the anterior descending coronary artery on full cardiopulmonary bypass. Follow-up computed tomography scans were performed at 1  week, 3, and 6  months, and annually thereafter. RESULTS: Technical success was achieved in all the cases. One transient @entity63 attack, 1 @entity64 , and 1 episode of transient @entity2759 were observed. Thirty-day mortality was not observed. A @entity1070 at 6  months was successfully treated with deployment of a second stent graft. After a mean follow-up of 3.5    3.1  years (range, 0.4-9.6  years), no aortic-related mortality was observed. No cases of stent-graft migration or secondary rupture were observed. CONCLUSIONS: Our experience demonstrates the promising potential of endovascular repair of dissecting @entity449 after surgical treatment of acute type A dissection. The potential to diminish the magnitude of the surgical procedure and the consequences of aortic arch exposure, and above all avoiding the need for @entity1167 are promising and mandate further investigation to determine the efficacy and durability of this technique.

Hybrid Aortic Repair of Dissecting XXXX after Surgical Treatment of Acute Type A Dissection.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic arch aneurysms', 'aortic arch aneurysm'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity1070 :: ('MESH:D057867', 'Disease') :: ['type I endoleak'] @entity2759 :: ('MESH:D020760', 'Disease') :: ['spinal cord ischemia'] @entity439 :: ('MESH:D000783', 'Disease') :: ['Aneurysm', 'aneurysm'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['circulatory arrest']
@entity449 :: (MESH:D001014,Disease) :: ['Aortic Arch Aneurysm']
