A challenging double bubble thoracic aortic and proximal subclavian aneurysm treated via transapical access

This case report describes a patient with a distal aortic arch and left subclavian artery aneurysm who was considered unsuitable for open surgical repair because of comorbidities and previous bypass surgery. Inadequate peripheral access precluded standard transfemoral thoracic endovascular aortic re...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2020-03, Vol.6 (1), p.80-83
Main Authors: de Beaufort, Hector W., van den Heuvel, Daniel A., Heijmen, Robin H.
Format: Article
Language:English
Subjects:
Aortic aneurysm
Case report
Stent graft
Subclavian aneurysm
TEVAR
Transapical access
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Summary:This case report describes a patient with a distal aortic arch and left subclavian artery aneurysm who was considered unsuitable for open surgical repair because of comorbidities and previous bypass surgery. Inadequate peripheral access precluded standard transfemoral thoracic endovascular aortic repair. Nonetheless, successful endovascular repair was possible via transapical access using the new Gore cTAG deployment mechanism, which allowed precise antegrade stent graft deployment in a short proximal neck.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2019.07.009