JTCS St. Jude Medical
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
James H. Wudel
James B. Williams
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Wudel, J. H.
Right arrow Articles by Williams, J. B.
PubMed
Right arrow Articles by Wudel, J. H.
Right arrow Articles by Williams, J. B.
Related Collections
Right arrow Cardiac - other
Right arrow Great vessels
Right arrow Minimally invasive surgery
Right arrow Peripheral vascular

J Thorac Cardiovasc Surg 2008;135:436-437
© 2008 The American Association for Thoracic Surgery

Brief Communication

Right axillary artery conduit for antegrade deployment of a thoracic aortic endoprosthesis

James H. Wudel, MDa,*, James B. Williams, MDb

a Nebraska Heart Institute, Lincoln, Neb
b Cardiac Thoracic and Endovascular Therapies, Peoria, Ill

Received for publication July 31, 2007; accepted for publication September 18, 2007.

* Address for reprints: James H. Wudel, MD, Nebraska Heart Institute, Lincoln, NE 68506. (Email: jwudel@neheart.com).

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

One of the ongoing challenges associated with the size of devices used in thoracic aortic endografting is arterial access. Intraoperative conduits are frequently required,1Go or patients are excluded from endovascular repair because their anatomy precludes delivery of the device.2Go Artery size, artery tortuosity, and previous aortic stent grafting all may complicate the retrograde endovascular navigation required to reach the target site safely. As an alternative, we describe the technique of placing a prosthetic vascular conduit on the right axillary artery to facilitate antegrade deployment of a thoracic endograft in a patient with an enlarging descending thoracic aneurysm, multiple comorbidities, and a previously placed infrarenal endograft.

Clinical Summary

A 79-year-old woman was seen with an enlarging descending thoracic aortic aneurysm measuring 7.5 cm. She had a history of hypertension, obesity, and an abdominal aortic bifurcated endograft (Gore Excluder; W. L. Gore & Associates, Inc, Flagstaff, Ariz). Preoperative aortography showed a type C arch without extracranial great vessel disease. Multiplanar computed tomography showed a suitably placed abdominal endograft . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 by The American Association for Thoracic Surgery.