Transcarotid Approach for Ascending Aortic Endovascular Repair.

We report a case of penetrating aortic ulcer in zone 0 of the ascending aorta with concern for free rupture that was treated by transcarotid endovascular stent graft. The patient was noted to be a poor candidate for open repair given comorbidities, frailty and age. She had a chronic occlusion of the right external iliac artery and stenosis of the left external iliac artery. Endovascular ascending aortic stenting was deployed successfully via right common carotid access. Patient had an uncomplicated postoperative course without evidence of stroke. Transcarotid approach is an optimal alternative access for patients undergoing endovascular ascending aortic repair.
PMID: 33412135 [PubMed - as supplied by publisher]

Source: The Annals of Thoracic Surgery - January 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Prasad NK, Ghoreishi M, Boyajian G, Gupta A, Hall M, Toursavadkouhi S, Taylor BS Tags: Ann Thorac Surg Source Type: research