title: Customized transapical thoracic endovascular repair for acute type A dissection.
abstract: A 67-year-old patient with severe comorbidities and acute type A aortic dissection with pericardial tamponade was treated with an endograft introduced through a mini-thoracotomy and puncture of the left ventricular apex. Final angiography showed complete coverage of the dissection. Early and 6-month follow-up computed tomography showed full apposition of the endograft without residual dissection. Transapical thoracic endovascular repair of acute type A aortic dissection appears to be feasible and is associated with minimal physiologic compromise. It may provide a less invasive alternative for patients with increased operative mortality.
authors: Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany. tilokoelbel@googlemail.com
authors: Tilo
authors: T
authors: Kölbel
authors: Beate
authors: B
authors: Reiter
authors: Johannes
authors: J
authors: Schirmer
authors: Sabine
authors: S
authors: Wipper
authors: Christian
authors: C
authors: Detter
authors: Eike Sebastian
authors: ES
authors: Debus
authors: Herrmann
authors: H
authors: Reichenspurner
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents