Abstract
Revision proximal arch thoracic endovascular aneurysm repair (TEVAR) was performed to treat a large, 73 mm pseudoaneurysm in a 74 year old man. (A, B) A through and through guidewire was placed from the right proximal external iliac artery to the left ventricular apex via mini left thoracotomy. A 36 mm Zenith Alpha endograft (Cook Aortic Intervention, Bloomington, IN, USA) was deployed above the level of the coronary sinuses under cardiopulmonary bypass. The patient had a complex history of multiple aortic arch interventions, including a Bentall procedure for type A dissection, hybrid aortic arch TEVAR with retrograde cervical debranching, and a revision Bentall procedure for pseudoaneurysm of coronary sinus and atrial fistula.Image 1
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