Transapical endovascular deployment of a stent-graft in the thoracic descending aorta.
We report the case of a 74-year-old man with a large aneurysm (60 mm) of the descending thoracic aorta. Because of severe calcification and kinking of the iliac vessels, the expected access-related complication during the endovascular repair urged us to search for an alternative strategy. Having good experience with transcatheter aortic valve implantation, we thought that the transapical approach may be the best option in this case. The stent-graft was successfully deployed through the heart apex without any complications. The postoperative imaging showed an excellent result.
Department of Cardiac Surgery, Dresden Heart Center, Dresden, Germany.
Utz
U
Kappert
Ahmed
A
Ouda
Tamer
T
Ghazy
Gregor
G
Simonis
Klaus
K
Matschke
D000368:Aged; D000785:Aneurysm, Infected / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057867:Endoleak / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013203:Staphylococcal Infections / Q000601:surgery*; D015607:Stents; D014680:Veins / Q000637:transplantation*
D011093:Polyethylene Terephthalates