We describe the endovascular management of a middle-aged woman who developed a bleeding suprasternal fistula after conventional aortic valve replacement. The patient's condition was considered inoperable. A customized stent attached to a transcatheter valve was successfully used to treat the individual, this being the first-in-human case of the promising Endo-Bentall procedure. ().
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http://dx.doi.org/10.1016/j.jaccas.2019.11.071 | DOI Listing |
J Vasc Surg
November 2024
German Aortic Center, Department of Vascular Medicine, University Medical Center Eppendorf, Hamburg, Germany.
Background: This study aimed to evaluate the suitability of a coronary-branched ascending aortic endograft, paired with aortic valve (AV) prosthesis (Endo-Bentall), for the endovascular repair of ascending aortic aneurysms.
Methods: Preoperative ≤1 mm computed tomography angiographies of consecutive patients managed with Bentall procedure or ascending aortic replacement and AV reconstruction/replacement, in a single institution (from January 1, 2008, to December 31, 2023), were retrospectively analyzed. Dedicate software was used to assess (1) vascular access, (2) proximal landing zone, (3) coronary artery anatomy, and (4) distal landing.
Circ Cardiovasc Interv
October 2023
Division of Vascular Surgery, Department of Surgery (J.K., S.T.), University of Maryland School of Medicine, Baltimore.
J Vasc Surg
December 2023
Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China; Chinese PLA Medical School, Beijing, China. Electronic address:
Circ Cardiovasc Interv
April 2023
Division of Cardiovascular Medicine Emory Structural Heart and Valve Center, Emory University Hospital Midtown, Atlanta, GA (H.U., P.T.G., N.S., A.B.G., V.B.).
Eur J Cardiothorac Surg
May 2023
Division of Cardiovascular and Interventional Radiology, Department of Bio-medical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Objectives: Endovascular treatment has been suggested as an alternative for open surgery for type A aortic dissection, but current devices have severe anatomical limitations. This study assesses the computed tomography-based anatomical suitability of currently manufactured stent grafts as well as 2 embodiments of valve-carrying devices.
Methods: In a retrospective single-centre cohort of 200 consecutive ascending/arch operations between 2009 and 2018, a total of 112 patients with type A aortic dissections were identified and evaluated for endovascular candidacy based on the locations of the entries, the landing zone diameters/lengths and the supra-aortic vessel origins according to the anatomical instructions for use criteria of 6 commercially available (tubular, branched or fenestrated) stent grafts.
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