Mid-Term Outcomes of a Hybrid Approach Involving Open Surgery Plus TEVAR of the Descending Aorta in the Treatment of Complex Type A Dissection

This study compares the clinical outcomes of two operative strategies for type A aortic dissection with true lumen collapse and malperfusion downstream, which is associated with a devastating prognosis. The authors compare a hybrid approach of ascending aorta (and hemiarch replacement) supplemented with retrograde stenting of the descending aorta (thoracic endovascular aortic repair [TEVAR]) with standard ascending aorta (and hemiarch) replacement without stent placement.