Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization Lukla.

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Presentation transcript:

Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization Lukla Biasi, MD, Tahir Ali, MBChB, MRCS, Tom Loosemore, MBBS, FRCS, MS, Rob Morgan, MBBS, MRCP, FRCR, Ian Loftus, MBBS, FRCS, MD, Matt Thompson, MA, MBBS, FRCS, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 6, Pages 1331-1338 (December 2009) DOI: 10.1016/j.jtcvs.2009.03.032 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intraoperative 3-vessel debranching. An inverted, bifurcated, 16- × 8–mm, silver-bonded Dacron graft fashioned end-to-side to the left common iliac artery (CIA) bypassing to the celiac trunk (a) and superior mesenteric artery (b) is shown. The left renal artery (c) is revascularized with a separate 6-mm Dacron graft by using an end-to-end distal anastomosis and an end-to-side proximal anastomosis to one limb of the inflow graft. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1331-1338DOI: (10.1016/j.jtcvs.2009.03.032) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative computed tomographic angiograph (3-dimensional rendering) of a completed hybrid. Four-vessel visceral debranching (inverted, bifurcated, 16- × 8–mm Dacron graft from the left common iliac artery to the celiac trunk and superior mesenteric artery and separate 6-mm Dacron grafts from each limb of the inflow graft to the left and right renal arteries) with thoracoabdominal aortic aneurysm endovascular exclusion (Medtronic Valiant endografts) is shown. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1331-1338DOI: (10.1016/j.jtcvs.2009.03.032) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions