Abstract

One of the last surgical domains yet to be addressed in a less invasive fashion is repair of the aortic arch. This is significant because surgical repair of aortic arch disease involves cardiopulmonary bypass and hypothermic circulatory arrest. Although surgical outcomes for aortic arch replacement have improved consistently, many patients are not surgical candidates secondary to multiple medical comorbidities that frequently accompany aortic arch disease. Therefore newer surgical alternatives that incorporate emerging endovascular techniques have the potential to transform the way we address the aortic arch.

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