title: Alternative surgical approach to repair of the ascending aorta.
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.
authors.affiliation: Division of Cardiac Surgery, Libin Cardiovascular Institute, Alberta, Canada.
authors.forename: Holly E
authors.initials: HE
authors.lastname: Mewhort
authors.forename: Jehangir J
authors.initials: JJ
authors.lastname: Appoo
authors.forename: Glen L
authors.initials: GL
authors.lastname: Sumner
authors.forename: Eric
authors.initials: E
authors.lastname: Herget
authors.forename: Jason
authors.initials: J
authors.lastname: Wong
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed