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Ann Thorac Surg 2004;77:1445-1447
© 2004 The Society of Thoracic Surgeons

Case report

New access to facilitate endovascular repair of descending aorta aneurysms

Carmine Minale, MDa*, Pierluigi Cappiello, MDa, Bruno Cimmino, MD, Maurilio Di Natale, MDa

a Cardiology Department, Division of Cardiovascular Surgery, San Carlo Hospital–Potenza, Potenza, Italy

Accepted for publication May 20, 2003.

* Address reprint requests to Prof Dr Minale, Cardiology Department, Division of Cardiovascular Surgery, San Carlo Hospital–Potenza, Macchia Romana, I –85100 Potenza, Italy.
e-mail: caminale{at}ospedalesancarlo.it

Coexisting arterial diseases and endoprosthesis to peripheral-vessel mismatch may impair conventional femoral access for endovascular treatment of descending aorta aneurysms. Furthermore, previous abdominal operations can make an optional aortic-iliac approach more difficult. We introduced a new minimally invasive access through the aortic arch, which completely avoids the aortic-iliac access and minimizes surgical trauma.






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