Totally Percutaneous Repair of an Aortic Arch Dissection: A Case Report
Saadi, Eduardo Keller; Tagliari, Ana Paula; Saadi, Rodrigo Petersen.
Rev. bras. cir. cardiovasc
; 38(2): 312-315, 2023. tab, graf
Artículo
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LILACS-Express
| ID: biblio-1431512
ABSTRACT Although the endovascular repair of descending thoracic aorta diseases is an already consolidated procedure, this approach is not well-established for ascending aorta and arch pathologies. A 71-year-old male patient who had undergone an open ascending aorta replacement ten years ago presented with a huge dissected aortic arch aneurysm. Vascular accesses were obtained with ultrasound-guided punctures, followed by aortic arch exclusion using aortic endoprostheses and the chimney-graft technique for preserving supra-aortic branches flow. This case demonstrates the feasibility of a totally percutaneous aortic arch repair provided that careful preprocedural planning and a dedicated team are available for such a challenging intervention.
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