Hybrid Aortic Repair (Combined Surgical and Endovascular)

Hybrid aortic repair is an operation that combines traditional open-chest surgery with stent placement (endovascular surgery).

Hybrid aortic repair is used to treat aortic aneurysm, or enlargement of the aorta, that may be very large or complex. These aneurysms often cannot be treated effectively by one surgical method alone.

Patients who need hybrid repair usually have extensive disease of the aorta, the main blood vessel that carries blood from your heart to your vital organs. These patients may also have other medical conditions that put them at high risk for major traditional surgery.

Hybrid aortic repairs can be performed in a single operating room on one day, or staged over several days in both the operating room and in the interventional radiology suite. There are certain patients that may also be treated in a hybrid room used for both catheterization and open surgery.

This image shows hybrid aortic repair. The surgeon uses bypass grafts to connect the arteries that go to the neck and arms (carotid and subclavian). Doctors use a stent-graft to protect the aortic arch and descending aorta.

Hybrid operations allow surgeons to treat very extensive aortic disease, while minimizing the risk of surgery. Hybrid operations also bring together multiple types of surgeons onto one team, allowing the patient to benefit from the full range of physician expertise and technology. Combined, the patient receives the best possible solution in a very complex situation.

Recovery after hybrid aortic repair depends on the extent of your procedure and your other medical conditions. Most patients need to be monitored in the intensive care unit for several days. Then, for several months after leaving the hospital, you will return to the Aortic Center for close follow-up and additional scans.

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