Transapical total aortic arch replacement with three-branched endograft for penetrating aortic ulcer

An 80-year-old man with a chronic penetrating atherosclerotic ulcer was not a candidate for open surgical repair owing to the presence of diffuse vascular atherosclerosis and a deep ulcerative lesion originating at the level of the aortic arch concavity. No appropriate endovascular landing zone was...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023-06, Vol.9 (2), p.101093, Article 101093
Main Authors: Lorenz, Veronica, Ricci, Carmelo, Cini, Marco, Candeloro, Laura, Tommasino, Giulio, Muzzi, Luigi, Tucci, Enrico, Neri, Eugenio
Format: Article
Language:English
Subjects:
Access
Aorta
Arch
Branch
Case Report
Endovascular
Transapical
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Summary:An 80-year-old man with a chronic penetrating atherosclerotic ulcer was not a candidate for open surgical repair owing to the presence of diffuse vascular atherosclerosis and a deep ulcerative lesion originating at the level of the aortic arch concavity. No appropriate endovascular landing zone was present in arch zones 1 or 2. However, a totally endovascular branched arch repair involving transapical delivery of the three branches was successful.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101093