Primary Endovascular Repair of the Ascending Aorta. Issue 6 (November 2018)

• Record Type: Journal Article
• Authors: Borrello, Bruno; Carino, Davide; Agostinelli, Andrea; Budillon, Alessandro Maria; Nicolini, Francesco
• Is Part Of: Innovations. Volume 13:Issue 6(2018)
• Page Start: 448
• Page End: 450
• Publication Date: 2018-11
• Subjects: Thoracic endovascular aortic repair (TEVAR) -- Ascending aorta -- Endovascular repair -- Penetrating aortic ulcer; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1097/IMI.0000000000000561
• Languages: English
• ISSNs: 1556-9845

Abstract

Different case series have been published demonstrating the feasibility of endovascular repair of the ascending aorta in selected patients deemed unfit for open surgery. However, the use of commercially available stent graft in the ascending aorta remains off-label, and their excessive length often prevents their deployment in the ascending aorta. Here we report a case of successful primary endovascular repair of the ascending aorta using a physician modified off-the-shelf device.