Experience with Zone 2 Arch Replacement Followed by Thoracic Endovascular Aortic Repair.

Background:  Transverse open aortic arch replacement remains a complex operation. A simplified arch replacement into zone 2, with debranching the head vessels proximally, creates a suitable landing zone for future endovascular repair and is increasing in popularity as of late. Still, limited data exist to assess contemporary rates of morbidity and mortality.