Successful catheter-based treatment of endoprosthesis related ascending aortic pseudoaneurysm, a case report

We describe a case of an ascending thoracic aortic pseudoaneurysm in a patient with a history of successful treatment of a dissecting aortic arch aneurysm with thoracic endovascular aortic repair (TEVAR) performed two years earlier. Comprehensive imaging evaluation and the appropriate technical considerations were essential for the successful exclusion of the pseudoaneurysm using a transcatheter-based approach. The patient's prior history of aortic pathology and endovascular intervention required thoughtful planning and execution of the procedure to effectively manage this rare but serious complication. • Recognize the importance of individualized approach • Understand key technical aspects in the transcatheter treatment of ascending aortic pseudoaneurysm • Correctly identify of patients able to be treated by a percutaneous treatment