[Successful hybrid policy in treatment of pathology of thoracic portion of the aorta].

Presented herein is a clinical case report of hybrid treatment of a patient with DeBakey type II chronic aortic dissection, aneurysm of the ascending aortic portion, and acute dissection of the descending portion. A peculiarity of this case consists in a successful hybrid approach in prosthetic repair of the ascending portion and aortic arch, i. e., by means of the frozen elephant trunk technique with the use of the hybrid stent graft 'MedEng' in combination with emergency placement of the Valiant Thoracic stent grafts into the descending aortic portion in acutely onset dissection. A favourable outcome of the intervention was possible owing to correctly chosen policy, performing interventions in a hybrid operating room, and well-coordinated work of teams of cardiovascular and roentgenoendovascular surgeons. Currently, due to importance of the problem and complications occurring in such a situation we consider it appropriate to describe this case, paying special attention to tactical and technical aspects of performing the intervention.