Endoluminal repair of atypical dissecting aneurysm of descending thoracic aorta and fusiform aneurysm of the abdominal aorta James May, MS, FRACS, Geoffrey.

Slides:

Advertisements

Similar presentations

Rupture of abdominal aortic aneurysm with tear of inferior vena cava in a patient with prior endograft Martin A.V. Tuma, MD, Sachinder Singh Hans, MD

Advertisements

Penetrating atherosclerotic ulcers of the thoracic aorta

Modular component separation and reperfusion of abdominal aortic aneurysm sac after endovascular repair of the abdominal aortic aneurysm: A case report

Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik,

Diagnosis and treatment of thoracic aortic intramural hematoma

Noninvasive vascular imaging in the diagnosis and treatment of adventitial cystic disease of the popliteal artery Arnold Miller, MBChB, Juha-P Salenius,

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik,

Combined proximal stent grafting plus distal bare metal stenting for management of aortic dissection: Superior to standard endovascular repair? Sophie.

Abdominal aortic pseudoaneurysm after blunt trauma

Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms Michael L. Marin, MD, Richard E. Parsons,

Douglas M. Cavaye, FRACS, William J. French, MD, Rodney A

Treatment of complex abdominal aortic aneurysms by a combination of endoluminal and extraluminal aortofemoral grafts James May, MS, FRACS, FACS, Geoffrey.

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial.

Rupture of abdominal aortic aneurysm with tear of inferior vena cava in a patient with prior endograft Martin A.V. Tuma, MD, Sachinder Singh Hans, MD

Symptomatic sac enlargement and rupture due to seroma after open abdominal aortic aneurysm repair with polytetrafluoroethylene graft: Implications for.

Surgery for acute type A aortic dissection

Midterm Change of Descending Aortic False Lumen After Repair of Acute Type I Dissection Kay-Hyun Park, MD, PhD, Cheong Lim, MD, PhD, Jin Ho Choi, MD,

James May, MS, FRACS, FACS, Geoffrey H

Chondrosarcoma of the aorta: A rare source of bowel and lower extremity emboli Nancy Clark, MD, Robert J. Goldenkranz, MD, Herman Maeuser, MD, Bruce J.

Preoperative assessment of abdominal aortic aneurysm: The value of helical and three- dimensional computed tomography Mario N. Gomes, MD, William J. Davros,

Joseph S. Coselli, MD, Peter Oberwalder, MD

The management of massive ultrafiltration distending the aneurysm sac after abdominal aortic aneurysm repair with a polytetrafluoroethylene aortobiiliac.

Rupture of a nonaneurysmal atherosclerotic infrarenal aorta

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

John K. Politz, MD, Virginia S. Newman, MD, Mark T. Stewart, MD

Traumatic abdominal aortic pseudoaneurysm causing biliary obstruction: A case report and review of the literature Christopher W. Chase, MD, Thomas S.

Aortoduodenal fistula after endovascular stent-graft of an abdominal aortic aneurysm Bertrand Janne d'Othée, MD, Philippe Soula, MD, Philippe Otal, MD,

Late endoleak after endovascular repair of an abdominal aortic aneurysm with multiple proximal extender cuffs Yehuda G. Wolf, MD, Bradley B. Hill, MD,

Treatment of chronic expanding dissecting aneurysms of the descending thoracic and upper abdominal aorta by extended aortotomy, removal of the dissected.

Inflammatory aneurysms of the aorta

Ruptured ovarian artery aneurysm: A case report

Diseases of the thoracic aorta in women

Vladimir Neychev, MD, PhD, Emilia Krol, MD, Alan Dietzek, MD

Penetrating atherosclerotic ulcers of the thoracic aorta

Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi.

James Majeski, MD, PhD, E. Stanley Crawford, MD, Elizabeth I

Customized endovascular repair of common iliac artery aneurysms

Marfan syndrome: The variability and outcome of operative management

Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi.

Thomas C. Naslund, MD, William H. Edwards, MD, Daniel F

Thoracoabdominal aortic aneurysm associated with umbilical artery catheterization: Case report and review of the literature Chris Cribari, MD, Frederick.

A surgically treated case of Takayasu's arteritis complicated by aortic dissections localized in the ascending and abdominal aortae Motomi Ando, MD,

In situ repair of mycotic abdominal aortic aneurysms with rifampin-bonded gelatin- impregnated Dacron grafts: A preliminary case report Ashish K. Gupta,

Duplex ultrasound scanning versus computed tomographic angiography for postoperative evaluation of endovascular abdominal aortic aneurysm repair Yehuda.

Aortoiliac surgery in renal transplant patients

Ramesh Lokanathan, MD, FRCS(C), David C. Taylor, MD, FRCS(C)

Spontaneous iliac arteriovenous fistula

Comparison of first- and second-generation prostheses for endoluminal repair of abdominal aortic aneurysms: A 6-year study with life table analysis James.

Primary aortoesophageal fistula from aortic aneurysm: Successful surgical treatment by use of omental pedicle graft Joseph S. Coselli, MD, E.Stanley.

Murphy’s law in cardiac surgery

Endoleaks after endovascular graft treatment of aortic aneurysms: Classification, risk factors, and outcome Reese A. Wain, MD, Michael L. Marin, MD,

Successful management of traumatic false aneurysm of the extracranial vertebral artery by duplex-directed manual occlusion: A case report Richard L.

J. V. Robbs, Ch. M. , F. R. C. S. , R. R. Human, F. C. S. (S. A. ), P

Extended use of computed tomography in the management of complex aortic problems: A learning experience Larry R. Williams, M.D. *, William R. Flinn,

Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies David B. Kaplan, MD, Christopher C. Kwon, MD,

Transluminal placement of a prosthetic graft-stent device for treatment of subclavian artery aneurysm James May, MS, FRACS, FACS, Geoffrey White, FRACS,

The impact of renal fusion and ectopia on aortic surgery

Intramural dissection of superior mesenteric artery

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Samuel S. Ahn, MD, Robert B. Rutherford, MD, K

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

Mesenteric vascular insufficiency and claudication following acute dissecting thoracic aortic aneurysm Thomas H. Cogbill, M.D., A.Erik Gundersen, M.D.,

William J. Quiñones-Baldrich, MD, Thomas F. Panetta, MD, Candace L

Early outcome and intermediate follow-up of vascular stents in the femoral and popliteal arteries without long-term anticoagulation Geoffrey H. White,

Rupture of abdominal aortic aneurysm: Concurrent comparison of outcome of those occurring after endovascular repair versus those occurring without previous.

Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction Apostolos T. Mamopoulos, MD, Thomas.

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Endoluminal repair of atypical dissecting aneurysm of descending thoracic aorta and fusiform aneurysm of the abdominal aorta James May, MS, FRACS, Geoffrey White, FRACS, Weiyun Yu, BSc (Med), MB, BS, Toos Sachinwalla, FRACR, Timothy McGahan, FRACS, Gregory Monaghan, FRACS Journal of Vascular Surgery Volume 22, Issue 2, Pages 167-172 (August 1995) DOI: 10.1016/S0741-5214(95)70112-5 Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Saggital projection of gradient-recalled echo MRI sequence demonstrates bright flowing blood in true lumen and bright signal in false lumen (arrow) consistent with methemoglobin in false lumen of aortic dissection. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 T1-weighted transverse MRI image through thoracic aorta demonstrates high signal consistent with methemoglobin in thrombosed false lumen of dissected descending thoracic aorta (arrow). Note no ascending aortic component is present. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Sagittal T1-weighted image demonstrates thrombosed false lumen (arrow) with predominately bright signal extending inferiorly into infrarenal AAA. A represents lumen of AAA. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Postcontrast CT (in craniocaudal direction) demonstrates AAA (T represents true lumen) with separate opacified posterior sac (F represents opacified false lumen) continuous with thrombosed false lumen (A) extending superiorly in dissected portions of aorta. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Lateral abdominal aortogram demonstrates AAA with separate sac (F) filling posteriorly. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Aortogram of infrarenal AAA. Note that aneurysm lacks distal neck and is unsuitable for endoluminal tube graft. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Postoperative aortogram demonstrates normal flow through aorta and endograft without leak of contrast agent into aneurysmal sac. Note ligated right common iliac artery. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 8 Diagram demonstrates method of repair. Restoration of blood flow to lower extremities has been achieved through extraperitoneal bifurcated Dacron graft sutured proximally to coaxial Dacron conduit and endoluminal aortoiliac endograft. Only two of five metal attachment devices are shown for clarity. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 9 A, Contrast CT section obtained 6 months after operation in region of previously present opacifying sac demonstrated in Fig. 4 with endograft in place, demonstrating that sac no longer fills. B, Contrast CT section obtained 6 months after operation just above endograft demonstrates false lumen is no longer evident. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 9 A, Contrast CT section obtained 6 months after operation in region of previously present opacifying sac demonstrated in Fig. 4 with endograft in place, demonstrating that sac no longer fills. B, Contrast CT section obtained 6 months after operation just above endograft demonstrates false lumen is no longer evident. Journal of Vascular Surgery 1995 22, 167-172DOI: (10.1016/S0741-5214(95)70112-5) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions