title: The heart as access to the aorta.
abstract: Thoracic endovascular aortic repair (TEVAR) is an accepted treatment option for patients with thoracic aortic pathologies regarded as unfit for open surgery. Nevertheless, a subgroup of these patients is ineligible for classic TEVAR due to the lack of access vessels. We describe the transapical TEVAR technique enabling surgeons to perform TEVAR even in these patients.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, University Medical Center Mainz, Mainz, Germany. ernst.weigang@web.de
authors.forename: Ernst
authors.initials: E
authors.lastname: Weigang
authors.forename: Helge
authors.initials: H
authors.lastname: Weiler
authors.forename: Tanja
authors.initials: T
authors.lastname: Frieß
authors.forename: Christian-Friedrich
authors.initials: CF
authors.lastname: Vahl
mesh_terms: D000784:Aortic Dissection / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D015607:Stents
keywords: Aortic aneurysm; Thoracic endovascular aortic repair; Transapical TEVAR; Transapical access; Transventricular TEVAR