Rapid aortic arch debranching using the Gore hybrid vascular graft.

A significant fraction of patients who survive repair of a DeBakey type I aortic dissection will require a secondary intervention to address ongoing aortic remodeling. Strategic treatment of this population mandates that the technical feasibility of secondary operations be considered at the index procedure. We evaluated a hybrid-based modification of a widely accepted surgical approach that obviates the need for advanced perfusion management techniques and facilitates secondary endografting. Hybrid technology allows for the physiologic equivalent of a total arch replacement without the operative complexity associated with a traditional approach while allowing for strategic planning if a secondary operation is warranted.