Art of operative techniques

Treatment options in arch penetrating aortic ulcer

Chiara Lomazzi, Viviana Grassi, Maurizio Domanin, Carlo De Vincentiis, Gabriele Piffaretti, Santi Trimarchi

Research output: Contribution to journalArticle

Abstract

Penetrating aortic ulcer (PAU) of the arch has a focal extent which often represents an adequate anatomic target for thoracic endovascular aortic repair (TEVAR). However, the anatomic constraints represented by the supra-aortic vessels pose either clinical or technical challenges that increase when the PAU develops proximally in the arch. Currently, different types of endografts are commercially available and have been used to treat aortic arch lesions. These include branched/fenestrated endografts for a total endovascular approach, and standard devices that can be used in combination with open/hybrid surgical operations, with the aim to exploit the minimally invasive nature of TEVAR by extending the proximal landing zone when necessary. We describe several current techniques adopted in such settings.

Original languageEnglish
Pages (from-to)500-508
Number of pages9
JournalAnnals of Cardiothoracic Surgery
Volume8
Issue number4
DOIs
Publication statusPublished - Jul 1 2019

Fingerprint

Art
Thoracic Aorta
Ulcer
Thorax
Equipment and Supplies

Keywords

  • Hybrid aortic arch repair
  • Penetrating aortic ulcer (PAU)
  • Surgical options
  • Thoracic endovascular aortic repair (TEVAR)

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Art of operative techniques : Treatment options in arch penetrating aortic ulcer. / Lomazzi, Chiara; Grassi, Viviana; Domanin, Maurizio; De Vincentiis, Carlo; Piffaretti, Gabriele; Trimarchi, Santi.

In: Annals of Cardiothoracic Surgery, Vol. 8, No. 4, 01.07.2019, p. 500-508.

Research output: Contribution to journalArticle

Lomazzi, C, Grassi, V, Domanin, M, De Vincentiis, C, Piffaretti, G & Trimarchi, S 2019, 'Art of operative techniques: Treatment options in arch penetrating aortic ulcer', Annals of Cardiothoracic Surgery, vol. 8, no. 4, pp. 500-508. https://doi.org/10.21037/acs.2019.07.06
Lomazzi, Chiara ; Grassi, Viviana ; Domanin, Maurizio ; De Vincentiis, Carlo ; Piffaretti, Gabriele ; Trimarchi, Santi. / Art of operative techniques : Treatment options in arch penetrating aortic ulcer. In: Annals of Cardiothoracic Surgery. 2019 ; Vol. 8, No. 4. pp. 500-508.
@article{f26ad5afdf2344bd90a4fe90a461fb48,
title = "Art of operative techniques: Treatment options in arch penetrating aortic ulcer",
abstract = "Penetrating aortic ulcer (PAU) of the arch has a focal extent which often represents an adequate anatomic target for thoracic endovascular aortic repair (TEVAR). However, the anatomic constraints represented by the supra-aortic vessels pose either clinical or technical challenges that increase when the PAU develops proximally in the arch. Currently, different types of endografts are commercially available and have been used to treat aortic arch lesions. These include branched/fenestrated endografts for a total endovascular approach, and standard devices that can be used in combination with open/hybrid surgical operations, with the aim to exploit the minimally invasive nature of TEVAR by extending the proximal landing zone when necessary. We describe several current techniques adopted in such settings.",
keywords = "Hybrid aortic arch repair, Penetrating aortic ulcer (PAU), Surgical options, Thoracic endovascular aortic repair (TEVAR)",
author = "Chiara Lomazzi and Viviana Grassi and Maurizio Domanin and {De Vincentiis}, Carlo and Gabriele Piffaretti and Santi Trimarchi",
year = "2019",
month = "7",
day = "1",
doi = "10.21037/acs.2019.07.06",
language = "English",
volume = "8",
pages = "500--508",
journal = "Annals of Cardiothoracic Surgery",
issn = "2225-319X",
publisher = "AME Publishing Company",
number = "4",

}

TY - JOUR

T1 - Art of operative techniques

T2 - Treatment options in arch penetrating aortic ulcer

AU - Lomazzi, Chiara

AU - Grassi, Viviana

AU - Domanin, Maurizio

AU - De Vincentiis, Carlo

AU - Piffaretti, Gabriele

AU - Trimarchi, Santi

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Penetrating aortic ulcer (PAU) of the arch has a focal extent which often represents an adequate anatomic target for thoracic endovascular aortic repair (TEVAR). However, the anatomic constraints represented by the supra-aortic vessels pose either clinical or technical challenges that increase when the PAU develops proximally in the arch. Currently, different types of endografts are commercially available and have been used to treat aortic arch lesions. These include branched/fenestrated endografts for a total endovascular approach, and standard devices that can be used in combination with open/hybrid surgical operations, with the aim to exploit the minimally invasive nature of TEVAR by extending the proximal landing zone when necessary. We describe several current techniques adopted in such settings.

AB - Penetrating aortic ulcer (PAU) of the arch has a focal extent which often represents an adequate anatomic target for thoracic endovascular aortic repair (TEVAR). However, the anatomic constraints represented by the supra-aortic vessels pose either clinical or technical challenges that increase when the PAU develops proximally in the arch. Currently, different types of endografts are commercially available and have been used to treat aortic arch lesions. These include branched/fenestrated endografts for a total endovascular approach, and standard devices that can be used in combination with open/hybrid surgical operations, with the aim to exploit the minimally invasive nature of TEVAR by extending the proximal landing zone when necessary. We describe several current techniques adopted in such settings.

KW - Hybrid aortic arch repair

KW - Penetrating aortic ulcer (PAU)

KW - Surgical options

KW - Thoracic endovascular aortic repair (TEVAR)

UR - http://www.scopus.com/inward/record.url?scp=85071238556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071238556&partnerID=8YFLogxK

U2 - 10.21037/acs.2019.07.06

DO - 10.21037/acs.2019.07.06

M3 - Article

VL - 8

SP - 500

EP - 508

JO - Annals of Cardiothoracic Surgery

JF - Annals of Cardiothoracic Surgery

SN - 2225-319X

IS - 4

ER -