Hybrid repair of type II thoracoabdominal aortic aneurysm using modified branch-first technique

Niranjan Hiremath; Gopal Bhatnagar; Khubaib Mapara; Houssam Younes; Woosup Michael Park

doi:10.1016/j.jvscit.2023.101105

Hybrid repair of type II thoracoabdominal aortic aneurysm using modified branch-first technique

J Vasc Surg Cases Innov Tech. 2023 Jan 18;9(1):101105. doi: 10.1016/j.jvscit.2023.101105. eCollection 2023 Mar.

Authors

Niranjan Hiremath^{1

2}, Gopal Bhatnagar³, Khubaib Mapara⁴, Houssam Younes^{1

4}, Woosup Michael Park⁵

Affiliations

¹ Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH.
² Education Department, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
³ Department of Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
⁴ Department of Vascular Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
⁵ Department of Surgery, Case Western Reserve University, University Hospital, Cleveland, OH.

Abstract

The hybrid modified branch-first technique has extended the feasibility of open thoracoabdominal aortic aneurysm (TAAA) repair in otherwise hostile aortic anatomy that is not entirely amenable for extent II open TAAA conventional repair or total endovascular repair. The modified branch-first open TAAA technique has been developed successfully at our center and has been used to treat extent III TAAAs with successful outcomes. By combining the modified technique with endovascular thoracic aortic repair, we have been able to successfully extend its use to more extensive extent II TAAAs. This could prove to be a useful technique in the armamentarium of aortic surgeons.

Keywords: Aortic surgery; Modified branch-first technique; TAAA repair; Thoracoabdominal aortic aneurysm.