Hybrid approach to a complex ruptured dissecting thoracoabdominal aortic aneurysm.

Six years after thoracic open repair of a type B dissection, a 64-year-old man with severe chronic obstructive pulmonary disease was admitted with a ruptured residual dissecting thoracoabdominal aneurysm and underwent a hybrid approach as an emergency, avoiding the risk of inadequate opening in the collapsed true lumen.