Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection

• Published in: Journal of Vascular Surgery Cases and Innovative Techniques
• Main Authors: Apoorva Bhandari, MD, MSc, Michael W.A. Chu, MD, FRCSC, Audra Duncan, MD, FACS, FRCSC
• Format: Article
• Language: English
• Published: Elsevier 2025-04-01
• Subjects: Endovascular techniques; Hybrid repair; Spinal cord ischemia; Surgical morbidities; Thoracoabdominal aortic aneurysm repair
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428724002855
• ISSN: 2468-4287

Despite advancements in surgical techniques and critical care, managing complications of type A and B aortic dissections remains challenging. Common morbidities include paraplegia, renal failure, stroke, and intestinal ischemia. Risks are especially high in extensive repairs, such as Crawford extent II thoracoabdominal aortic aneurysms, and in older patients or those with heart failure, poor pulmonary function, or renal disease. To mitigate these risks, less invasive techniques like total endovascular and hybrid approaches have been developed. We present a case of a 69-year-old female with an 8.5-cm type II thoracoabdominal aortic aneurysm with chronic dissection, successfully treated with a staged hybrid repair.