Key result
Endovascular repair using a transapical-to-femoral artery guidewire technique was successfully performed for a ruptured, extremely tortuous descending aortic aneurysm with pseudocoarctation.
Case Report (n=1)
Demonstrates the feasibility of using a transapical-to-femoral artery guidewire technique for endovascular repair of a ruptured, extremely tortuous descending aortic aneurysm with pseudocoarctation.
Successful TEVAR via transapical-femoral wire in tortuous ruptured aneurysm; leaves open broader applicability pending prospective series.
We have presented a case of a ruptured descending aortic aneurysm that was accompanied by extreme tortuosity and a pseudocoarctation at the level of the ligamentum arteriosum. We performed successful endovascular repair, covering the left subclavian artery, using a transapical-to-femoral artery (through-and-through) guidewire technique to overcome the tortuosity, with the option to perform balloon angioplasty in the case of an increased gradient over the coarctation. In the present case report, we have underlined the role of close collaborations with aortic expertise centers.
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Hoogewerf et al. (2022) conducted a case report in Ruptured descending aortic aneurysm with extreme tortuosity and pseudocoarctation (n=1). Endovascular repair using a transapical-to-femoral artery guidewire technique was evaluated on Successful endovascular repair. Endovascular repair using a transapical-to-femoral artery guidewire technique was successfully performed for a ruptured, extremely tortuous descending aortic aneurysm with pseudocoarctation.
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