title: Transapical endovascular aortic repair to treat complex aortic pathologies.
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%.
authors.affiliation: Division of Vascular and Interventional Radiology, Baptist Cardiac and Vascular Institute Miami, Miami, Florida 33176, USA.
authors.forename: Heiko
authors.initials: H
authors.lastname: Uthoff
authors.forename: Lisardo
authors.initials: L
authors.lastname: Garcia-Covarrubias
authors.forename: Shaun
authors.initials: S
authors.lastname: Samuels
authors.forename: James F
authors.initials: JF
authors.lastname: Benenati
authors.forename: Niberto L
authors.initials: NL
authors.lastname: Moreno
authors.forename: Barry T
authors.initials: BT
authors.lastname: Katzen
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal / Q000379:methods; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011475:Prosthesis Failure; D011677:Punctures / Q000379:methods; D011859:Radiography; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012494:Sampling Studies; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods