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Updated: Mar 15, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
628
Endovascular therapy for ascending aorta pseudoaneurysm.
Henry C Quevedo1, Alvaro Alonso1
1Tulane University Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA, USA.
Summary
Ascending aortic pseudoaneurysms (AAP) often require surgical repair. For patients unfit for surgery, endovascular repair offers a viable alternative, as demonstrated in a complex case.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Ascending aortic pseudoaneurysms (AAP) frequently arise post-thoracic surgery.
- Surgical correction is standard for large AAP.
- Some patients are inoperable due to age or comorbidities.
Observation:
- This review examines surgical and trans-catheter treatments for AAP.
- A case study details endovascular management in a high-risk patient.
- Initial septal occluder deployment failed in the case.
Findings:
- Endovascular therapy is a feasible option for inoperable AAP patients.
- Coil embolization achieved successful AAP exclusion in the presented case.
- Literature review supports both surgical and endovascular approaches.
Implications:
- Endovascular techniques expand treatment options for complex aortic pathologies.
- Minimally invasive strategies can improve outcomes for high-risk surgical candidates.
- Further research into endovascular AAP repair is warranted.
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