title: Endovascular therapy for ascending aorta pseudoaneurysm.
abstract: Ascending Aortic pseudoaneurysms (AAP) are often formed as a result of prior thoracic surgery. In patients with large AAP, surgical correction is the established therapy. However, a group of patients are not suitable surgical candidates because of advanced age or multiple comorbidities. Instead, endovascular approach represents a viable option in this population. Here, we review the literature of the surgical and trans-catheter therapy for AAP. Additionally, we complement the review with a case presentation of a prohibitive surgical risk case that was treated with endovascular options including an unsuccessful septal occluder deployment, but final excellent angiographic AAP exclusion with coil embolization.
authors.affiliation: Tulane University Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA, USA. Electronic address: hqueved@tulane.edu.
authors.forename: Henry C
authors.initials: HC
authors.lastname: Quevedo
authors.affiliation: Tulane University Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA, USA.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Alonso
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography / Q000379:methods; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome
keywords: Ascending aorta pseudoaneurysm; Coil embolization; Endovascular therapy