Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm Ludovic.

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Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm Ludovic Canaud, MD, PhD, Bernard Albat, MD, PhD, Kheira Hireche, MD, Aurelien Hostalrich, MD, PhD, Pierre Alric, MD, PhD, Thomas Gandet, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 2, Pages 102-105 (June 2018) DOI: 10.1016/j.jvscit.2018.02.004 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Computed tomography (CT) showed a large dissecting ascending aortic aneurysm (6.9 cm). The aneurysm started 5 mm distal to the ostia of the left coronary artery and ended immediately proximal to the brachiocephalic trunk. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 102-105DOI: (10.1016/j.jvscit.2018.02.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 Contrast-enhanced axial computed tomography (CT) image demonstrates an intimal flap that separates the two channels in the ascending aorta. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 102-105DOI: (10.1016/j.jvscit.2018.02.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 3 Drawing of the reverse extra-anatomic aortic arch debranching and thoracic endovascular aortic repair (TEVAR) of a chronic ascending aortic aneurysm. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 102-105DOI: (10.1016/j.jvscit.2018.02.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 4 Postoperative computed tomography (CT) scan (axial slices) at 1 week (A) and 6 months (B) showing patent stent graft, no evidence of endoleak, stent graft expansion, and aneurysm shrinkage. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 102-105DOI: (10.1016/j.jvscit.2018.02.004) Copyright © 2018 The Author(s) Terms and Conditions