Endovascular repair of ascending aortic pseudoaneurysm

A 48-year-old woman with a complex aortic history, beginning with an acute type A dissection repair 14 years prior to presentation, followed by endovascular repair of her residual type B dissection and thoracoabdominal aortic aneurysm, presented with an incidental finding of a new, aortic pseudoaneurysm originating from her ascending graft. Given the prohibitive risk of redo open surgery, this was successfully repaired using proximal aortic extension cuffs from the TAG-TBE endograft system (W.L. Gore, Flagstaff, AZ) with complete exclusion of the pseudoaneurysm. To our knowledge, this is the first reported use of this newly commercially available thoracic endograft for this application.