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Peer-reviewedCC BYJournal of vascular surgery cases and innovative techniques

Zone 0 thoracic branch endoprosthesis with aortic arch debranching.

  1. 1Division of Vascular and Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, WI.
  2. 2Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

Abstract

We present a case of staged arch debranching with subsequent zone 0 branched thoracic aortic endograft in a patient with a bovine arch. Open surgery is the historic gold standard for aortic arch repair. However, poor operative candidates may be unable to tolerate sternotomy and circulatory arrest required for repair. This case highlights a staged hybrid endovascular and open approach to repairing a progressively aneurysmal aortic arch.

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BibTeX
@article{skummer2026zone,
  title = {{Zone 0 thoracic branch endoprosthesis with aortic arch debranching.}},
  author = {Philip Skummer and Paul Dyrud and Brandon Key and Michael Malinowski},
  journal = {Journal of vascular surgery cases and innovative techniques},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jvscit.2026.102524},
  url = {https://europepmc.org/article/MED/42910016},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Zone 0 thoracic branch endoprosthesis with aortic arch debranching.
AU  - Philip Skummer
AU  - Paul Dyrud
AU  - Brandon Key
AU  - Michael Malinowski
PY  - 2026
DA  - 2026/09/19
JO  - Journal of vascular surgery cases and innovative techniques
DO  - 10.1016/j.jvscit.2026.102524
UR  - https://europepmc.org/article/MED/42910016
AB  - We present a case of staged arch debranching with subsequent zone 0 branched thoracic aortic endograft in a patient with a bovine arch. Open surgery is the historic gold standard for aortic arch repair. However, poor operative candidates may be unable to tolerate sternotomy and circulatory arrest required for repair. This case highlights a staged hybrid endovascular and open approach to repairing a progressively aneurysmal aortic arch.
SN  - 2468-4287
ER  -