Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft Naoki Toya, MD, PhD, Takao Ohki, MD,

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Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft Naoki Toya, MD, PhD, Takao Ohki, MD, PhD, Soichiro Fukushima, MD, Kota Shukuzawa, MD, Eisaku Ito, MD, Tadashi Akiba, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 2, Pages 148-151 (June 2018) DOI: 10.1016/j.jvscit.2018.01.011 Copyright © 2018 The Authors Terms and Conditions

Fig 1 A, Preoperative computed tomography revealed a bovine arch, an aortic arch aneurysm, and an occlusion of the proximal left subclavian artery (LSA). B, Preoperative three-dimensional (3D) finding. C, Device implantation plan. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 148-151DOI: (10.1016/j.jvscit.2018.01.011) Copyright © 2018 The Authors Terms and Conditions

Fig 2 A, A fenestration of the Najuta stent graft. B, According to the position of the origin of the brachiocephalic trunk, the Najuta stent graft has a precut fenestration in the upper posterior wall of the outer curvature. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 148-151DOI: (10.1016/j.jvscit.2018.01.011) Copyright © 2018 The Authors Terms and Conditions

Fig 3 A, Aortography performed after fenestrated stent grafting. B, Follow-up computed tomography performed at 7 months showed complete thrombosis of the sac. C, Three-dimensional (3D) computed tomography reconstruction image 7 months after thoracic endovascular aortic repair (TEVAR). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 148-151DOI: (10.1016/j.jvscit.2018.01.011) Copyright © 2018 The Authors Terms and Conditions