To the Editor:Total aortic arch replacement(TAR)is a surgical procedure associated with significant perioperative risks,leading to a higher rate of mortality and neurologic complications.Ascending aortic or hemiarch r...To the Editor:Total aortic arch replacement(TAR)is a surgical procedure associated with significant perioperative risks,leading to a higher rate of mortality and neurologic complications.Ascending aortic or hemiarch replacement is associated with less complicated procedures,which can be used to effectively resect the proximal intimal tear and potentially improve the survival rates in these patients.[1]Hybrid aortic repair,combining openchest surgery and stent placement has been effectively used in patients with an aortic arch aneurysm.[2]Although a hybrid technique is often followed,only a limited number of studies with a small number of cases have investigated the application of this procedure for the treatment of type I aortic dissection.[1,2]This study aimed to evaluate the early and mid-term safety and efficacy of the hybrid technique in this cohort by analyzing a large sample size.展开更多
文摘To the Editor:Total aortic arch replacement(TAR)is a surgical procedure associated with significant perioperative risks,leading to a higher rate of mortality and neurologic complications.Ascending aortic or hemiarch replacement is associated with less complicated procedures,which can be used to effectively resect the proximal intimal tear and potentially improve the survival rates in these patients.[1]Hybrid aortic repair,combining openchest surgery and stent placement has been effectively used in patients with an aortic arch aneurysm.[2]Although a hybrid technique is often followed,only a limited number of studies with a small number of cases have investigated the application of this procedure for the treatment of type I aortic dissection.[1,2]This study aimed to evaluate the early and mid-term safety and efficacy of the hybrid technique in this cohort by analyzing a large sample size.
