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Updated: Nov 25, 2025
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Physician-modified Stent Graft for Total Endovascular Aortic Arch Repair
Andre Brito Queiroz1, Jackson Brandão Lopes2, Vitória Castro Marcos3
1Hospital Ana Nery, Aortic Team, Division of Vascular and Endovascular Surgery, Cardiac Surgery, Cardiology and Anesthesia, Universidade Federal da Bahia, Salvador, Brazil; Hospital Ana Nery, Division of Vascular Surgery, Universidade Federal da Bahia, Salvador, Brazil.
Abstract:
Endovascular techniques have proven useful in aortic arch management because they allow less invasive treatment and potentially faster recovery. We present the case of a 66-year-old woman with a 2-month history of precordial pain. Imaging studies revealed a saccular aortic arch aneurysm in the anterior portion of the arch. A Valiant Navion CoveredSeal (Medtronic, Santa Rosa, CA) device was modified with a double fenestration and used to treat it. The symptoms resolved and follow-up imaging showed aneurysm exclusion and patency of the supra-aortic branches. To our knowledge, this the first total endovascular arch repair to have been performed with this device.
