Transapical Endovascular Aortic Aneurysm Repair in a Patient with Shaggy Aorta Syndrome

We report a case of a 68-year-old man with a large saccular aneurysm (70 mm) of the aortic arch. Although abundant atherosclerotic plaques or mural thrombi are generally considered to be a contraindication for endovascular repair, the patient’s multiple comorbidities and anatomical limitations with a patent internal thoracic artery graft adjacent to the aneurysm made him unfit for open repair. Transapical deployment of the endograft through the less diseased ascending aorta, with a concomitant chimney graft and carotid-carotid bypass, was performed, without evident stroke or embolism.

Source: Annals of Vascular Surgery - February 11, 2015 Category: Surgery Authors: Takashi Murakami, Yohei Kawatani, Yoshitsugu Nakamura, Takaki Hori Source Type: research