Customized transapical thoracic endovascular repair for acute type A dissection.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23336881.
- Also identified by DOI 10.1016/j.athoracsur.2012.06.055.
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Abstract
A 67-year-old patient with severe comorbidities and acute type A aortic dissection with pericardial tamponade was treated with an endograft introduced through a mini-thoracotomy and puncture of the left ventricular apex. Final angiography showed complete coverage of the dissection. Early and 6-month follow-up computed tomography showed full apposition of the endograft without residual dissection. Transapical thoracic endovascular repair of acute type A aortic dissection appears to be feasible and is associated with minimal physiologic compromise. It may provide a less invasive alternative for patients with increased operative mortality.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Endovascular Procedures
- Stents