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Updated: Jun 28, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
[Endografts (or stent-grafts) and diseases of the descending thoracic aorta]
H Rousseau1, B Marcheix, V Chabbert
1Services de radiologie, chirurgie cardiovasculaire et cardiologie, hôpital Rangueil, Toulouse. rousseau.h@chu-toulouse.fr
Insights
Endovascular repair using S-Graft offers a safe, less invasive alternative to surgery for thoracic aorta diseases, particularly in patients with severe comorbidities. Mid-term outcomes show comparable morbidity and mortality to traditional surgery.
Area of Science:
- Vascular Surgery
- Endovascular Techniques
- Aortic Disease Management
Context:
- Thoracic aortic diseases pose significant surgical challenges.
- Patients with severe comorbidities often have limited treatment options.
- S-Graft endovascular repair is emerging as a viable alternative to open surgery.
Purpose:
- To review the technical aspects, indications, and outcomes of endovascular repair of thoracic aorta lesions using S-Graft.
- To evaluate the advantages and limitations of S-Graft therapy in managing thoracic aorta diseases.
Summary:
- Endovascular treatment with S-Graft provides a safe, less invasive, and effective option for thoracic aorta diseases.
- Mid-term morbidity and mortality data suggest outcomes comparable to surgical repair in large patient series.
- The S-Graft approach is particularly beneficial for patients with severe comorbidities.
Impact:
- S-Graft therapy expands treatment possibilities for complex aortic conditions.
- This less invasive approach may improve patient recovery and reduce treatment-related complications.
- Further research and clinical adoption can refine endovascular strategies for aortic diseases.
Abstract:
The endovascular treatment of aorta diseases with S-Graft is considered as an alternative to surgery, especially interesting in patients with severe comorbidities. Indeed, the mid-term morbidity and mortality are comparable to surgery in relatively large series, and S-Graft implantation appeared as a safe, less invasive and efficient treatment for different affections of the thoracic aorta. This article reviews technical aspects, indications and results of endovascular repairs of thoracic aorta lesions. We will also assess the advantages and limitations of S-Graft therapy.
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