Percutaneous transapical access to facilitate complex thoracic endovascular aortic repair

Abstract

Thoracic endovascular aortic repair (TEVAR) provides an alternative to open surgery for a variety of aortic diseases. However, complex anatomy and previous operations may preclude traditional approaches to TEVAR. Percutaneous transapical access through the left ventricle is a feasible option to facilitate externalized “rail” wire support for complex TEVAR. We present the case of TEVAR for a residual type B aortic dissection facilitated by percutaneous transapical access. Keywords: Vascular closure, Thoracic endovascular aortic repair, Transapical access