Total endovascular repair of an aortic arch aneurysm using an externalized transseptal guidewire technique

Ann Thorac Surg. 2012 May;93(5):1710-3. doi: 10.1016/j.athoracsur.2011.10.030.

Abstract

Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography / methods
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / methods*
  • Endovascular Procedures / methods*
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Preoperative Care / methods
  • Prosthesis Design
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome