Percutaneous device closure of a pseudoaneurysm arising from the junction of the innominate artery and the aorta Dawn C. Scantlebury, MBBS, Oluseun O.

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Percutaneous device closure of a pseudoaneurysm arising from the junction of the innominate artery and the aorta Dawn C. Scantlebury, MBBS, Oluseun O. Alli, MBBS, Lyle D. Joyce, MD, Charanjit S. Rihal, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 3, Pages 732-734 (September 2012) DOI: 10.1016/j.jtcvs.2012.03.069 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Aortic computed tomographic angiography. The thin white arrow indicates the innominate artery stent, and the thick white arrow indicates the reconstructed sternum. P, Pseudoaneurysm cavity. B, Initial aortic angiography, left anterior oblique view. The black arrow indicates the pseudoaneurysm cavity, and the white arrow indicates the innominate artery stent. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 732-734DOI: (10.1016/j.jtcvs.2012.03.069) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Selective injection of pseudoaneurysm. The arrow indicates the innominate artery stent. B, The Shuttle sheath with extra-stiff Amplatz guidewire (Cook Medical Inc, Bloomington, Ind) is curled in the pseudoaneurysm cavity. C, The Amplatzer Vascular Plug II device (St Jude Medical, St Paul, Minn) is deployed with the mid and distal disks (black arrows) in the pseudoaneurysm and the proximal aortic disk (white arrow) flush against the aortic wall. D, Final aortography demonstrates a well-seated Amplatzer Vascular Plug II device (arrow), with minimal flow into the pseudoaneurysm. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 732-734DOI: (10.1016/j.jtcvs.2012.03.069) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions