Introduction
The adoption of thoracic aortic endovascular repair (TEVAR) has
significantly improved treatment options for a variety of aortic
pathologies, while decreasing morbidity and mortality compared to
conventional open repairs. It has also allowed the use of hybrid
techniques which combine surgical and endovascular graft placements. A
number of these approaches have been described, but their popularity
remains limited, in part due to the paucity of literature on their
midterm and long-term outcomes. Here we present the case of a hybrid
off-pump debranching and TEVAR with a 1-year follow-up. A discussion on
the pearls and pitfalls of this technique is also provided.