Transapical endovascular aortic repair to treat complex aortic pathologies.

Uthoff, Heiko; Garcia-Covarrubias, Lisardo; Samuels, Shaun; Benenati, James F; Moreno, Niberto L; Katzen, Barry T · Ann Thorac Surg · 2012

case_series · Level IV

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Abstract

Clinical condition, hostile anatomy, and previous heart/aortic surgery may preclude standard open surgery and standard endovascular interventions in patients with complex aortic pathologies. We report our initial experience using the transapical endovascular approach to treat a type IA endoleak after transfemoral endovascular graft repair for a contained rupture of a penetrating descending aortic ulcer; an ascending aortic anastomotic pseudoaneurysm after open surgical repair of an ascending aortic dissection; and a type A aortic dissection after minimally invasive mitral valve repair. There were no neurologic or cardiovascular complications, and the 30-day mortality was 0%.

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