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

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