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1. Transapical total aortic arch replacement with three-branched endograft for penetrating aortic ulcer

Author

Veronica Lorenz, MD, Carmelo Ricci, MD, Marco Cini, MD, Laura Candeloro, MD, Giulio Tommasino, MD, Luigi Muzzi, MD, Enrico Tucci, MD, and Eugenio Neri, MD

Subjects
Access, Aorta, Arch, Branch, Endovascular, Transapical, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

An 80-year-old man with a chronic penetrating atherosclerotic ulcer was not a candidate for open surgical repair owing to the presence of diffuse vascular atherosclerosis and a deep ulcerative lesion originating at the level of the aortic arch concavity. No appropriate endovascular landing zone was present in arch zones 1 or 2. However, a totally endovascular branched arch repair involving transapical delivery of the three branches was successful.

Published
2023
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