Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm through an Anterograde Approach after Transposition of Supra-aortic and Visceral Arteries

Abstract

Introduction

Retrograde access through femoral artery is usual for endovascular repair of the aorta. Some patients are not suitable to receive endovascular treatment because of poor anatomic access.

Report

We report the hybrid treatment of a type 1 thoraco-abdominal aortic aneurysm, through an anterograde access by a temporary ascending aortic conduit after the transposition of supra-aortic and visceral arteries.

Discussion

This approach was described in two precedent cases that reported good results. It seems to be an interesting alternative in the case of retrograde access failure.