Coronary Artery Bypass Salvage With Branched Aortic Endograft in a Patient With Aortic Arch Ulcer

Antonio Rizza; Francesco Negro; Cataldo Palmieri; Alberto Clemente; Sergio Berti

doi:10.1016/j.jaccas.2022.04.023

Coronary Artery Bypass Salvage With Branched Aortic Endograft in a Patient With Aortic Arch Ulcer

JACC Case Rep. 2022 Jul 20;4(14):851-853. doi: 10.1016/j.jaccas.2022.04.023.

Authors

Antonio Rizza¹, Francesco Negro², Cataldo Palmieri¹, Alberto Clemente³, Sergio Berti¹

Affiliations

¹ Cardiology Department, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
² Cardiology Division, Pisa University Hospital, Pisa, Italy.
³ Radiology Department, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.

Abstract

Treatment of multiple penetrating aortic ulcers becomes troublesome if they involve the aortic arch. We report a percutaneous aortic repair using a unibody design endoprosthesis with a precannulated side component for the left subclavian artery to manage a large aortic arch ulcer and preserve the patency of previous coronary artery bypass graft. (Level of Difficulty: Advanced.).

Keywords: CABG, coronary artery bypass graft; LSA, left subclavian artery; PAU, penetrating aortic ulcer; aortic arch; aortic syndromes; endovascular aortic repair; left subclavian artery; penetrating aortic ulcer.