Off the Shelf Thoracic Endovascular Aortic Repair with Sandwich Technique for the Treatment of a Thoraco-abdominal Penetrating Aortic Ulcer

Penetrating aortic ulcers (PAUs) are the rarest subset of acute aortic syndromes, and a thoraco-abdominal (TA) location is uncommon. Endovascular surgery is considered first line treatment. Custom made branched/fenestrated endografts have been successfully applied in this disease but are unavailable in urgent settings. Off the shelf solutions may be required in high risk patients. The authors describe a case of a symptomatic rapidly expanding TA-PAU without a distal seal zone that underwent urgent endovascular repair.

Source: EJVES Extra - April 21, 2022 Category: Surgery Authors: Tiago F. Ribeiro, Nelson Camacho, Rita S. Ferreira, Frederico Bastos Gon çalves, Maria Emília Ferreira Tags: Case Report Source Type: research