Rodrigues, HCastro, JMValentim, HLaranjeira, AFerreira, EAlbuquerque e Castro, JFragata, JMota Capitão, L2013-10-172013-10-172012Rev Port Cir Cardiotorac Vasc. 2012 Jul-Sep;19(3):141-7http://hdl.handle.net/10400.17/1478Objectives: To retrospectively review the hybrid treatment of the aortic arch with supra-aortic debranching and endo- vascular stent-graft repair in a single institution. Methods: From 2007 to 2010, all patients submitted to aortic debranching procedures were entered into a prospective database analysis. For the present study, only patients with sealing zones 0 and 1, according to the Ishimaru classification, were included. Procedure-related morbimortality was analysed for the open and endovascular procedures. Results: During the study period, we electively performed 6 total aortic debranching and 4 partial aortic debranching procedures in 10 patients. According to the etiology the indications were: 6 aortic arch aneurysms, 2 post-dissection aneu- rysms, 1 false aneurysm and 1 type I endoleak following TEVAR. The proximal sealing zone was Ishimaru zone 0 in six patients and zone 1 in four patients. The TEVAR procedure was delayed in all patients with a completion success of 80% (1 patient died from ruptured aortic aneurysm; 1 patient denied the second procedure and was lost to follow-up). The 30d mortality rate was 10% (patient mentioned above). The main morbidity was: 1 axillar venous thrombosis, 1 case of subclinical myocardial infarction, 1 case of terminal renal insufficiency and 1 case of prolonged ventilation. No permanent cerebral or peripheral neurologic deficit was noted. Conclusions: The hybrid repair of the aortic arch is a feasible and reproducible procedure, and our results are similar to the previously published series. Medium and long-term results are necessary to confirm whether the technique can be regarded as a safe alternative to open surgery in high-risk patients.porHSM CCTHSM CIR VASCFalso Aneurisma/patologiaFalso Aneurisma/cirurgiaAorta Torácica/patologiaAorta Torácica/cirurgiaAneurisma da Aorta Torácica/patologiaAneurisma da Aorta Torácica/cirurgiaEndoleak/patologiaEndoleak/cirurgiaProcedimentos Endovasculares/métodosEstudos de Follow-UpEstudos RetrospectivosStentsResultado de Tratamentojournal article