Alternative surgical approach to repair of the ascending aorta.

Mewhort, Holly E; Appoo, Jehangir J; Sumner, Glen L; Herget, Eric; Wong, Jason · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

We describe a case of complete endovascular repair of the ascending aorta using a transfemoral approach. A 59-year-old man with a history of two previous sternotomies experienced an ascending aortic pseudoaneurysm arising from the graft-to-graft anastomosis of a previous DeBakey type I aortic dissection repair. A custom-made Zenith TX2 (William Cook Europe ApS, Bjaeverskov, Denmark) thoracic aortic aneurysm endovascular graft, designed specifically for the ascending aorta, was introduced through the left femoral artery and deployed under a rapid ventricular pacing protocol to achieve precise placement between the sinotubular junction and the aortic arch.

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