Abstract
IntroductionAnterograde thoracic endovascular aneurysm repair (TEVAR) has been reported for patients with not suitable anatomy for retrograde delivery. ReportWe report the case of a 72 year old female patient that we treated with TEVAR via anterograde axillary approach for a different indication; lack of distal neck over the coeliac trunk. DiscussionAnterograde TEVAR via the axillary artery is rarely needed. Although delivering the graft from the femoral artery allows some precision in distal landing, anterograde delivery can be much more precise when distal neck is very limited or non existing. We did not use a prosthetic conduit to protect the axillary artery and we express our objection in current trends that suggest the opposite strategy.
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