Related Experiment Video
Updated: Jul 24, 2025

06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
391
Transapical total aortic arch replacement with three-branched endograft for penetrating aortic ulcer
Veronica Lorenz1, Carmelo Ricci2, Marco Cini2
1Aortic Surgery Unit, Siena University Hospital, Siena, Italy.
Abstract:
An 80-year-old man with a chronic penetrating atherosclerotic ulcer was not a candidate for open surgical repair owing to the presence of diffuse vascular atherosclerosis and a deep ulcerative lesion originating at the level of the aortic arch concavity. No appropriate endovascular landing zone was present in arch zones 1 or 2. However, a totally endovascular branched arch repair involving transapical delivery of the three branches was successful.

