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Updated: Dec 27, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
A challenging double bubble thoracic aortic and proximal subclavian aneurysm treated via transapical access
Hector W de Beaufort1, Daniel A van den Heuvel2, Robin H Heijmen1,3
1Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Abstract:
This case report describes a patient with a distal aortic arch and left subclavian artery aneurysm who was considered unsuitable for open surgical repair because of comorbidities and previous bypass surgery. Inadequate peripheral access precluded standard transfemoral thoracic endovascular aortic repair. Nonetheless, successful endovascular repair was possible via transapical access using the new Gore cTAG deployment mechanism, which allowed precise antegrade stent graft deployment in a short proximal neck.
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