Transapical Deployment of Thoracic Stent Graft for Ascending Aorta Coronary Bypass Pseudoaneurysm in a Patient with Prosthetic Aortic Valve

Michele Antonello; Augusto D'Onofrio; Marco Zavatta; Giambattista Isabella; Carlo Maturi; Michele Piazza; Gino Gerosa

doi:10.1055/s-0039-1687864

Transapical Deployment of Thoracic Stent Graft for Ascending Aorta Coronary Bypass Pseudoaneurysm in a Patient with Prosthetic Aortic Valve

Aorta (Stamford). 2019 Feb;7(1):29-32. doi: 10.1055/s-0039-1687864. Epub 2019 Jul 22.

Authors

Michele Antonello¹, Augusto D'Onofrio², Marco Zavatta¹, Giambattista Isabella³, Carlo Maturi¹, Michele Piazza¹, Gino Gerosa²

Affiliations

¹ Department of Cardiac, Thoracic and Vascular Sciences, Vascular and Endovascular Surgery Clinic, School of Medicine, Padova University, Padova, Italy.
² Division of Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, School of Medicine, Padova University, Padova, Italy.
³ Division of Cardiology, Department of Cardiac, Thoracic and Vascular Sciences, School of Medicine, Padova University, Padova, Italy.

Abstract

The authors describe the transapical deployment of a thoracic endograft to exclude a saphenous vein graft proximal anastomotic pseudoaneurysm following coronary artery bypass grafting (CABG) in a 63-year-old male with a prosthetic aortic valve. A standard thoracic endograft has been deployed via transapical access after percutaneous transluminal coronary angioplasty of the native vessel perfused by the patent CABG. The procedure was uneventful; an 8-month computed tomography scan showed complete exclusion of the pseudoaneurysm with patency of supra-aortic trunks.

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Grants and funding

Funding None.