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this chairman thank you very much for the invitation to present our experience in h Birmingham regarding um replacement of the aortic Arch um as a introdu introduction and very brief patients with disease of the aortic Arch are of docHub challenge to the cardiac surgeon as the aortic Arch is a transition between the ascending to the descending aorta H very commonly there is disease and on either side of of the of the aorta and that imposes big challenges on how to deal with both of them gives origin as well to the uh vessels that will supply with blood to the to the brain and has also an important role in the irrigation of the spine therefore H challenges are uh quite important in how we deal with the with the atic arch the Arctic Arch can be H addressed as weamp;#39;ve been hearing already H openly or oops sorry uh can be addressed uh via open repair or ER hybrid repairs or total endovascular ER treatment and all of that is at the moment as weamp;#39;ve heard just heard open to
