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Ann Thorac Surg 2010;89:616-618. doi:10.1016/j.athoracsur.2009.06.090
© 2010 The Society of Thoracic Surgeons
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Wilson Y. Szeto
Nimesh D. Desai
Rita K. Milewski
Albert T. Cheung
Alberto Pochettino
Joseph E. Bavaria
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Case Reports

Transapical Deployment of Endovascular Thoracic Aortic Stent Graft for an Ascending Aortic Pseudoaneurysm

Wilson Y. Szeto, MDa,*, William G. Moser, CRNPa, Nimesh D. Desai, MDa, Rita K. Milewski, MDa, Albert T. Cheung, MDb, Alberto Pochettino, MDa, Joseph E. Bavaria, MDa

a Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
b Department of Anesthesia and Critical Care, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania

Accepted for publication June 18, 2009.

* Address correspondence to Dr Szeto, Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Hospital of University of Pennsylvania, 3400 Spruce St, 6th Silverstein, Philadelphia, PA 19104 (Email: szetow{at}uphs.upenn.edu).

We report a case of a patient with a history of previous coronary artery bypass grafting undergoing endovascular aortic repair of a large pseudoaneurysm in the ascending aorta. Due to the limitations of the current technology, the endograft was deployed through a left ventricular transapical approach by using a left mini-thoracotomy.




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