Thoracic Endovascular Aortic Repair Through Cardiac Apex in the Setting of Thoracic Aortic Rupture

Andrea Agostinelli; Davide Carino; Bruno Borrello; Giorgio Romano; Luigi Vignali; Anselmo Alessandro Palumbo; Carla Marcato; Tiziano Gherli; Francesco Nicolini

doi:10.1016/j.athoracsur.2018.03.040

Thoracic Endovascular Aortic Repair Through Cardiac Apex in the Setting of Thoracic Aortic Rupture

Ann Thorac Surg. 2018 Oct;106(4):e177-e178. doi: 10.1016/j.athoracsur.2018.03.040. Epub 2018 Apr 21.

Authors

Andrea Agostinelli¹, Davide Carino², Bruno Borrello¹, Giorgio Romano¹, Luigi Vignali³, Anselmo Alessandro Palumbo⁴, Carla Marcato⁴, Tiziano Gherli¹, Francesco Nicolini¹

Affiliations

¹ Department of Cardiac Surgery, Parma General Hospital, Parma, Italy.
² Department of Cardiac Surgery, Parma General Hospital, Parma, Italy; Aortic Institute at Yale-New Haven, Yale University School of Medicine, New Haven, Connecticut. Electronic address: [email protected].
³ Department of Cardiology, Parma General Hospital, Parma, Italy.
⁴ Department of Radiology, Parma General Hospital, Parma, Italy.

PMID: 29684372
DOI: 10.1016/j.athoracsur.2018.03.040

Abstract

Treatment of thoracic aortic rupture poses a substantial challenge for the aortic surgeon. The advent of thoracic endovascular aortic repair (TEVAR) revolutionized the treatment of this heterogeneous group of diseases. Some patients suitable for TEVAR, however, present severe peripheral vascular diseases that can prevent standard retrograde delivery of the stent graft through the femoral artery. In this report, we present a case series of 5 patients with thoracic aortic rupture successfully treated with cardiac transapical TEVAR.

Publication types

Case Reports

MeSH terms

Aged
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Rupture / surgery*
Blood Vessel Prosthesis*
Endovascular Procedures / methods*
Humans
Prosthesis Design
Stents*
Thoracotomy / methods*