Technical Notes: Open Ascending Aorta and Valve Repair Following Total Arch Endovascular Repair

AA and valve repair after B-TEVAR is feasible. These cases offer technical insights for managing such complex reoperations as B-TEVAR becomes more common.Clinical ImpactArch-branched endovascular repair (B-TEVAR) is a less invasive alternative to standard open arch repair (OAR). We describe 2 surgical techniques to successfully perform cardiac surgery, including AA and aortic and mitral valve repairs, in patients with a history of B-TEVAR. Tailored approaches to address these challenging cases are mandatory, with a special focus on the endograft branches position and direction.

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Publication Details

Journal
Journal of Endovascular Therapy
Published
2025-12-09
DOI
https://doi.org/10.1177/15266028251396292
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
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Technical Notes: Open Ascending Aorta and Valve Repair Following Total Arch Endovascular Repair

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Technical Notes: Open Ascending Aorta and Valve Repair Following Total Arch Endovascular Repair

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article en

Abstract

AA and valve repair after B-TEVAR is feasible. These cases offer technical insights for managing such complex reoperations as B-TEVAR becomes more common.Clinical ImpactArch-branched endovascular repair (B-TEVAR) is a less invasive alternative to standard open arch repair (OAR). We describe 2 surgical techniques to successfully perform cardiac surgery, including AA and aortic and mitral valve repairs, in patients with a history of B-TEVAR. Tailored approaches to address these challenging cases are mandatory, with a special focus on the endograft branches position and direction.

Journal of Endovascular Therapy
Inserm (FR), Université Paris-Saclay (FR), Institute Mutualiste Montsouris (FR), Hôpital Marie Lannelongue (FR), Hôpital Paris Saint-Joseph (FR)
Openalex Percentile: Top 42%
Aortic Disease and Treatment Approaches
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