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J Thorac Cardiovasc Surg 2007;133:562-563
© 2007 The American Association for Thoracic Surgery

Brief Communication

An entirely endovascular approach to the repair of an ascending aortic pseudoaneurysm

^a Cardiovascular Surgery Service of the Texas Heart Institute at St. Luke’s Episcopal Hospital, Baylor College of Medicine, Houston, Tex
^b Division of Vascular Surgery and Endovascular Therapy Baylor College of Medicine, Houston, Tex
^c Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex

Received for publication September 26, 2006; accepted for publication October 9, 2006.

^_* Address for reprints: Scott A. LeMaire, One Baylor Plaza, BCM 390, Houston, TX 77030. (Email: slemaire@bcm.edu).

The first 20% of the full text of this article appears below.

Traditional surgical repair of an ascending aortic pseudoaneurysm requires resternotomy, cardiopulmonary bypass, and often hypothermic circulatory arrest. These procedures are complex, technically challenging, and associated with significant mortality.¹ The rapidly advancing technology of catheter-based interventions has rarely addressed diseases of the ascending aorta, because the proximity to the coronary and brachiocephalic arteries makes such interventions particularly challenging.^2-4 Here we describe the use of a stent-graft to perform an entirely endovascular repair of a symptomatic ascending aortic pseudoaneurysm in a patient who was a poor candidate for open surgical intervention.

Clinical Summary

Review of patient data for this report was approved by the institutional review board at Baylor College of Medicine. Informed consent for the report was obtained from the patient. An 82-year-old woman had undergone emergency repair of an acute iatrogenic dissection localized to the ascending aorta 18 months previously. In her previous operation, primary aortic repair with obliteration of the false lumen and resuspension of the aortic valve had . . . [Full Text of this Article]

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