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

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

doi:10.1016/j.jvscit.2023.101093

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

J Vasc Surg Cases Innov Tech. 2023 Feb 16;9(2):101093. doi: 10.1016/j.jvscit.2023.101093. eCollection 2023 Jun.

Authors

Veronica Lorenz¹, Carmelo Ricci², Marco Cini², Laura Candeloro², Giulio Tommasino¹, Luigi Muzzi¹, Enrico Tucci¹, Eugenio Neri¹

Affiliations

¹ Aortic Surgery Unit, Siena University Hospital, Siena, Italy.
² Interventional Radiology Unit, Siena University Hospital, Siena, Italy.

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.

Keywords: Access; Aorta; Arch; Branch; Endovascular; Transapical.

Publication types

Case Reports