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Ann Thorac Surg 2011;92:1108-1110. doi:10.1016/j.athoracsur.2011.01.092
© 2011 The Society of Thoracic Surgeons
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Case Reports

Alternative Surgical Approach to Repair of the Ascending Aorta

Holly E. Mewhort, MDa, Jehangir J. Appoo, MDCMa,*, Glen L. Sumner, MDa, Eric Herget, MDb, Jason Wong, MDb

a Divisions of Cardiac Surgery and Cardiology, Libin Cardiovascular Institute, Alberta, Canada
b Division of Interventional Radiology, Foothills Medical Centre, University of Calgary, Alberta, Canada

Accepted for publication January 25, 2011.

* Address correspondence to Dr Appoo, Foothills Medical Centre, Rm C828, 1403-29th St NW, Calgary, AB T2N 2T9, Canada (Email: jehangir.appoo{at}albertahealthservices.ca).

We describe a case of complete endovascular repair of the ascending aorta using a transfemoral approach. A 59-year-old man with a history of two previous sternotomies experienced an ascending aortic pseudoaneurysm arising from the graft-to-graft anastomosis of a previous DeBakey type I aortic dissection repair. A custom-made Zenith TX2 (William Cook Europe ApS, Bjaeverskov, Denmark) thoracic aortic aneurysm endovascular graft, designed specifically for the ascending aorta, was introduced through the left femoral artery and deployed under a rapid ventricular pacing protocol to achieve precise placement between the sinotubular junction and the aortic arch.




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H. Uthoff, L. Garcia-Covarrubias, S. Samuels, J. F. Benenati, N. L. Moreno, and B. T. Katzen
Transapical Endovascular Aortic Repair to Treat Complex Aortic Pathologies
Ann. Thorac. Surg., May 1, 2012; 93(5): 1735 - 1737.
[Abstract] [Full Text] [PDF]


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