Debranching thoracic endovascular aortic repair combined with ascending aortic aortoplasty

Surgical treatment of aortic arch lesions is a challenge for cardiac surgeons because of the complexity of the technique.For high-risk patients who are not suitable to undergo traditional open arch replacement,debranching thoracic endovascular aortic repair (d-TEVAR) is often a good choice.Retrograde type A aortic dissection (RTAD) is a common and fatal complication after d-TEVAR,[1] and thus d-TEVAR is contraindicated in low-risk patients.Herein,we describe a modification of d-TEVAR with an aortoplasty of the ascending aorta using artificial blood vessels and the subsequent use as an anchoring zone to minimize the occurrence of RTAD.