Hybrid thoracoabdominal aneurysm repair with antegrade visceral debranching from the ascending aorta: concomitant cardiac surgery and stent-grafting.

Patients with thoracoabdominal aneurysm that require concomitant cardiac surgery present a complex surgical challenge. A staged hybrid technique including combined cardiac surgery and visceral revascularization from the ascending aorta, followed by endovascular aneurysmal exclusion is reported in four patients. No perioperative death and no neurological complications were observed. The surgical technique is described.