Transcaval access to the abdominal aorta

The Retroperitoneal Approach to the Abdominal Aorta

Within the community of the vascular surgeons, it has always been a matter of debate which surgical approach is tolerated better by the patient undergoing a reconstruction of the abdominal aorta. When the first reconstructions were performed in 1951 an extraperitoneal approach was preferred. Oudot (1) performed the first aorto-bi-iliac graft for aorto-iliac occlusive disease. Dubost (2) was the...

Abdominal Aorta

The heart as access to the aorta.

Thoracic endovascular aortic repair (TEVAR) is an accepted treatment option for patients with thoracic aortic pathologies regarded as unfit for open surgery. Nevertheless, a subgroup of these patients is ineligible for classic TEVAR due to the lack of access vessels. We describe the transapical TEVAR technique enabling surgeons to perform TEVAR even in these patients.

Transcaval puncture for access to the pulmonary venous atrium after the extracardiac total cavopulmonary connection operation.

BACKGROUND Patients with surgically palliated total cavopulmonary connection are at risk for recurrent atrial arrhythmia requiring catheter ablation. Transcatheter procedures for those with extracardiac conduits (extracardiac-total cavopulmonary connection) are perhaps the most challenging because of exclusion of the venous circulation from the arrhythmia substrate. Puncture through the inferio...

Aneurysms of the Abdominal Aorta *

Following one encounter with a case of ruptured abdominal aneurysm which was of considerable interest, it seemed desirable to look up the hospital cases of this disease entity and to review the literature briefly. It was very soon clear that the diagnosis of aneurysm of the abdominal aorta was no medical frill, for more than one general surgeon or urologist has operated only to find that an ane...