Transapical access for thoracic endovascular aortic repair to elephant trunk completion.

Abstract:

:The 2-stage elephant trunk procedure is widely used to treat extensive disease of the aortic arch and descending thoracic aorta. The 2nd stage of the procedure can be accomplished with both a standard surgical procedure and a retrograde transfemoral endovascular approach using the dangling graft as proximal landing zone. However, in some patients, severe disease of iliofemoral vessels can prevent standard retrograde thoracic endovascular aortic repair (TEVAR). In such cases, an alternative route to gain endovascular access must be used. Herein, we report a case of anterograde cardiac transapical approach for TEVAR as a 2nd stage of an elephant trunk procedure.

authors

Agostinelli A,Carino D,Borrello B,Nicolini F

doi

10.1093/icvts/ivy074

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

301-303

issue

2

eissn

1569-9293

issn

1569-9285

pii

4929835

journal_volume

27

pub_type

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