AI Article Synopsis

  • A middle-aged woman developed a bleeding suprasternal fistula following traditional aortic valve replacement, making her condition inoperable.
  • A new approach using a customized stent connected to a transcatheter valve was employed successfully.
  • This case marks the first use of the innovative Endo-Bentall procedure in a human patient.

Article Abstract

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. ().

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311619PMC
http://dx.doi.org/10.1016/j.jaccas.2019.11.071DOI Listing

Publication Analysis

Top Keywords

endo-bentall procedure
8
aortic valve
8
first-in-human endo-bentall
4
procedure simultaneous
4
simultaneous treatment
4
treatment ascending
4
ascending aorta
4
aorta aortic
4
valve describe
4
describe endovascular
4

Similar Publications

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.

View Article and Find Full Text PDF

Anatomic feasibility of a modular Endo-Bentall stent graft system for type A aortic dissection.

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:

Article Synopsis
  • The study explores the limitations of current thoracic endovascular aortic repair options for patients with type A aortic dissection, focusing on the challenge of insufficient landing zones in the ascending aorta.
  • A new modular Endo-Bentall stent graft system is proposed to enhance the repair capabilities by covering aortic intimal tears and reconstructing coronary arteries.
  • Out of 152 patients analyzed, 66.4% were found anatomically eligible for the new stent graft system, indicating a significant potential for expanding treatment options.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!