title: Transapical endovascular aortic aneurysm repair in a patient with shaggy aorta syndrome.
abstract: We report a case of a 68-year-old man with a large saccular aneurysm (70 mm) of the aortic arch. Although abundant atherosclerotic plaques or mural thrombi are generally considered to be a contraindication for endovascular repair, the patient's multiple comorbidities and anatomic limitations with a patent internal thoracic artery graft adjacent to the aneurysm made him unfit for open repair. Transapical deployment of the endograft through the less-diseased ascending aorta, with a concomitant chimney graft and carotid-carotid bypass, was performed, without evident stroke or embolism.
authors: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. Electronic address: takashimurakami24@hotmail.com.
authors: Takashi
authors: T
authors: Murakami
authors: Department of Cardiovascular Surgery, Chibanishi General Hospital, Chiba, Japan.
authors: Yohei
authors: Y
authors: Kawatani
authors: Department of Cardiovascular Surgery, Chibanishi General Hospital, Chiba, Japan.
authors: Yoshitsugu
authors: Y
authors: Nakamura
authors: Department of Cardiovascular Surgery, Chibanishi General Hospital, Chiba, Japan.
authors: Takaki
authors: T
authors: Hori
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents; D013577:Syndrome