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We sought to review our early experience with the treatment of this condition based on a hybrid approach following an aortic multi\u2010disciplinary team meeting involving close cooperation between cardiac surgeons, vascular surgeons, interventional radiologists, vascular anesthetists, and cardiac anesthetists. Four patients (age 41\u201356\u2009years; 3 males; 1 female) with type B aortic dissection underwent aortic arch surgery through a hybrid approach: one elective procedure consisting of ascending aorta and hemi\u2010arch replacement with debranching followed by thoracic endovascular aortic repair (TEVAR); one redo procedure requiring aortic arch replacement with hybrid frozen elephant trunk; two acute presentations (aortic arch replacement and debranching followed by TEVAR; AVR with ascending aorta, arch, and proximal descending thoracic aorta replacement with conventional elephant trunk and debranching). Deep hypothermic circulatory arrest was required in three patients. Despite respiratory complications and slightly prolonged postoperative course, all patients survived without onset of stroke, paraplegia, malperfusion, endoleak, or need for re\u2010exploration. Follow\u2010up remains satisfactory. Different factors may affect outcome following complex aortic procedures. Nevertheless, close cooperation between cardiac surgeons, vascular surgeons, and interventional radiologists may reduce potential for complications and address aspects that may not be completely within the domain of individual specialists.<\/jats:p>","DOI":"10.1002\/ccr3.6742","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:47:25Z","timestamp":1672793245000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Aortic arch surgery for type B aortic dissection: How far should we go? The value of a hybrid approach"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2351-9994","authenticated-orcid":false,"given":"Massimo","family":"Capoccia","sequence":"first","affiliation":[{"name":"Cardiac Surgery, Yorkshire Heart Centre Leeds Teaching Hospitals NHS Trust  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5544-3528","authenticated-orcid":false,"given":"Mohamed Ashur","family":"Sherif","sequence":"additional","affiliation":[{"name":"Cardiac Surgery, Yorkshire Heart Centre Leeds Teaching Hospitals NHS Trust  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Nassef","sequence":"additional","affiliation":[{"name":"Vascular Surgery Leeds Teaching Hospitals NHS Trust  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Shaw","sequence":"additional","affiliation":[{"name":"Interventional Radiology Leeds 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