Key result
Totally endovascular transapical three-branched arch repair succeeds in treating a chronic penetrating atherosclerotic ulcer.
Why the study?
A patient with a chronic penetrating atherosclerotic ulcer and diffuse vascular atherosclerosis was not a candidate for open surgical repair and lacked appropriate endovascular landing zones in arch zones 1 or 2.
Case Report (n=1)
Transapical delivery of a three-branched endograft can be a successful totally endovascular approach for aortic arch repair in patients ineligible for open surgery.
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.
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Lorenz et al. (2023) conducted a case report in Chronic penetrating atherosclerotic ulcer (n=1). Totally endovascular branched arch repair involving transapical delivery of three branches was evaluated on Procedural success. A totally endovascular branched arch repair involving transapical delivery of three branches was successful in an 80-year-old man with a chronic penetrating atherosclerotic ulcer.
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