Transapical access for thoracic endovascular aortic repair to elephant trunk completion. (12th March 2018)

• Record Type: Journal Article
• Authors: Agostinelli, Andrea; Carino, Davide; Borrello, Bruno; Nicolini, Francesco
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 27:Number 2(2018)
• Page Start: 301
• Page End: 303
• Publication Date: 2018-03-12
• Subjects: Thoracic endovascular aortic repair -- Elephant trunk 2 stage -- Alternative approach for thoracic endovascular aortic repair -- Transapical access for thoracic endovascular aortic repair; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivy074
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: The 2-stage elephant trunk procedure is widely used to treat extensive disease of the aortic arch and descending thoracic aorta. The 2nd stage of the procedure can be accomplished with both a standard surgical procedure and a retrograde transfemoral endovascular approach using the dangling graft as proximal landing zone. However, in some patients, severe disease of iliofemoral vessels can prevent standard retrograde thoracic endovascular aortic repair (TEVAR). In such cases, an alternative route to gain endovascular access must be used. Herein, we report a case of anterograde cardiac transapical approach for TEVAR as a 2nd stage of an elephant trunk procedure.