{
  "abstract": "Objective\n\nThe objective was to demonstrate the feasibility of ascending thoracic endovascular aortic repair (a-TEVAR) as a minimally invasive treatment for an ascending anastomotic pseudoaneurysm in a patient unsuitable for redo open surgery.Key steps\n\nThe steps included: 1) multidisciplinary evaluation and detailed computed tomography angiography-based anatomical planning; 2) assessment of proximal and distal landing zones, coronary ostia, and supra-aortic vessel anatomy; 3) selection of a Gore C-TAG endograft based on anatomical suitability; 4) percutaneous transfemoral a-TEVAR under rapid ventricular pacing with intraoperative angiographic guidance; and 5) confirmation of complete pseudoaneurysm exclusion while preserving coronary and supra-aortic vessel patency, followed by serial computed tomography angiography surveillance.Potential pitfalls\n\nLimited landing zones, proximity to the coronary ostia and supra-aortic vessels, inaccurate device deployment, and the absence of dedicated ascending aortic devices increase procedural complexity. Careful patient selection, meticulous preoperative planning, and rapid ventricular pacing are essential to minimize these risks.Take-home messages\n\nThe a-TEVAR procedure is a feasible alternative to high-risk redo sternotomy in carefully selected patients with favorable anatomy. However, a-TEVAR of the ascending aorta continues to pose significant technical and clinical challenges, and further investigations are needed.",
  "abstract_shown": true,
  "affiliations": [
    "Vascular and Endovascular Surgery Unit, Sandro Pertini Hospital, Rome, Italy.",
    "Cardiovascular Surgery Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.",
    "Vascular and Endovascular Surgery Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy. Electronic address: giulia.colonna@uniroma1.it.",
    "Vascular and Endovascular Surgery Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.",
    "Division of Cardiology, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.",
    "Interventional Radiology Unit, Hospital Sant'Andrea, Sapienza University of Rome, Rome, Italy.",
    "Department of General and Specialistic Surgery, and Anaesthesiology, University of Rome La Sapienza, Rome, Italy."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "C Margheritini"
    },
    {
      "affs": [
        1
      ],
      "name": "M Coli"
    },
    {
      "affs": [
        2
      ],
      "name": "G Colonna"
    },
    {
      "affs": [
        3
      ],
      "name": "C Battocchio"
    },
    {
      "affs": [
        1
      ],
      "name": "F Capuano"
    },
    {
      "affs": [
        4
      ],
      "name": "A Berni"
    },
    {
      "affs": [
        5
      ],
      "name": "M Rossi"
    },
    {
      "affs": [
        3
      ],
      "name": "L Rizzo"
    },
    {
      "affs": [
        1
      ],
      "name": "G Melina"
    },
    {
      "affs": [
        6
      ],
      "name": "P Sirignano",
      "orcid": "0000-0002-1312-1915"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cqa4knxwz7f6t.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.110218",
  "fulltext_url": "https://europepmc.org/articles/PMC13669868",
  "id": "cqa4knxwz7f6t",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://europepmc.org/article/MED/42847576",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Aortic Disease and Treatment Approaches"
    ]
  ],
  "openalex": "W7220846605",
  "pdf_url": "https://europepmc.org/articles/PMC13669868?pdf=render",
  "pmcid": "PMC13669868",
  "pmid": "42847576",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/cqa4knxwz7f6t.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42847576",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42847576"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Endovascular Solution for Anastomotic Pseudoaneurysm of the Ascending Aorta.",
  "title_text": "Endovascular Solution for Anastomotic Pseudoaneurysm of the Ascending Aorta.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/cqa4knxwz7f6t",
  "venue": "JACC. Case reports",
  "versions": []
}