Abstract

We report the case of a 74-year-old man with a large aneurysm (60 mm) of the descending thoracic aorta. Because of severe calcification and kinking of the iliac vessels, the expected access-related complication during the endovascular repair urged us to search for an alternative strategy. Having good experience with transcatheter aortic valve implantation, we thought that the transapical approach may be the best option in this case. The stent-graft was successfully deployed through the heart apex without any complications. The postoperative imaging showed an excellent result.

Links

Publisher Full Text

Authors

Kappert U, Ouda A, Ghazy T, Simonis G, Matschke K

Institution

Department of Cardiac Surgery, Dresden Heart Center, Dresden, Germany.

Source

The Annals of thoracic surgery 93:6 2012 Jun pg 2063-5

MeSH

Aged
Aneurysm, Infected
Aortic Aneurysm, Thoracic
Blood Vessel Prosthesis
Endoleak
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Methicillin-Resistant Staphylococcus aureus
Polyethylene Terephthalates
Postoperative Complications
Prosthesis-Related Infections
Recurrence
Reoperation
Staphylococcal Infections
Stents
Surgical Procedures, Minimally Invasive
Veins

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22632508