Percutaneous transapical access to facilitate complex thoracic endovascular aortic repair

Joseph M Venturini; Ross Milner; Atman P Shah

doi:10.1016/j.jvscit.2019.03.003

Percutaneous transapical access to facilitate complex thoracic endovascular aortic repair

J Vasc Surg Cases Innov Tech. 2019 Jun 21;5(3):205-209. doi: 10.1016/j.jvscit.2019.03.003. eCollection 2019 Sep.

Authors

Joseph M Venturini¹, Ross Milner², Atman P Shah¹

Affiliations

¹ Section of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, Ill.
² Section of Vascular Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Ill.

Abstract

Thoracic endovascular aortic repair (TEVAR) provides an alternative to open surgery for a variety of aortic diseases. However, complex anatomy and previous operations may preclude traditional approaches to TEVAR. Percutaneous transapical access through the left ventricle is a feasible option to facilitate externalized "rail" wire support for complex TEVAR. We present the case of TEVAR for a residual type B aortic dissection facilitated by percutaneous transapical access.

Keywords: Thoracic endovascular aortic repair; Transapical access; Vascular closure.