الفهرس 
Epidemiology and PathologyOnly 14 pages are availabe for public view
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Abstract
A great controversy remains when comparing open aortic arch repair and hybrid aortic surgery. Many surgeons consider conventional surgeries upon the arch as highly morbid procedures that are associated with high mortality rates. In contrary to that belief, arch surgeries have proven by evidence to be safe and effective, with low morbidity and mortality, thanks to the advances achieved in terms of perfusion and surgical techniques. The main factors that stand in the face of surgical aortic arch repair are related to lack of fitness for such major operation, as most patients carry significant morbidities pre-operatively. In the other hand, many aortic surgeons question the concept behind using endoluminal stent-grafts for exclusion of aortic pathology.