Off-Pump Aortic Arch Debranching Via Upper Ministernotomy

Off-pump aortic arch debranching via upper ministernotomy, combined with endovascular procedures, offers a minimally invasive alternative to full sternotomy and cardiopulmonary bypass for treating aortic arch aneurysms, as demonstrated in a 72-year-old patient who underwent successful same-day interventions and experienced an uneventful recovery.