Simultaneous sizing and preoperative risk stratification for thoracic endovascular aneurysm repair: Role of gated computed tomography Felix J.V. Schlösser,

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Presentation transcript:

Simultaneous sizing and preoperative risk stratification for thoracic endovascular aneurysm repair: Role of gated computed tomography Felix J.V. Schlösser, MD, Hamid R. Mojibian, MD, Alan Dardik, MD, PhD, Hence J.M. Verhagen, MD, PhD, Frans L. Moll, MD, PhD, Bart E. Muhs, MD, PhD Journal of Vascular Surgery Volume 48, Issue 3, Pages 561-570 (September 2008) DOI: 10.1016/j.jvs.2008.04.055 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Graph shows coronary calcium scores in asymptomatic men. The small red block represents the percentage of people with the same age and sex of the presented patient who have less calcium in the coronary arteries. The relatively high calcium score in combination with other cardiac findings in this patient would be a good indication for referral of the patient to a cardiologist before surgery. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Cross-sectional views of the left anterior descending coronary artery are shown. B, This curved planar reformatted image of the left anterior descending coronary artery shows a heavily calcified and diffusely diseased artery. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 In a semi-automated fashion, the dynamic images from 0% to 90% of the cardiac cycle were used to calculate ejection fraction (end-diastolic volume minus end-systolic volume) and the end-diastolic myocardial mass of the left ventricle. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 The three leaflets of the aortic valve are excellently visible in this electrocardiogram-gated computed tomography image. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 A prosthetic valve was found in one patient. The electrocardiogram-gated computed tomography images show the prosthetic valve in two different phases: (A) open during the systolic phase and (B) closed during the diastolic phase of the cardiac cycle. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 6 This image shows a thrombotic clot (arrow) in the appendix of the left atrium. Journal of Vascular Surgery 2008 48, 561-570DOI: (10.1016/j.jvs.2008.04.055) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions