Combined surgical and endovascular treatment of aortic arch aneurysms

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Combined surgical and endovascular treatment of aortic arch aneurysms Hossam M. Saleh, MD, Luigi Inglese, MD Journal of Vascular Surgery Volume 44, Issue 3, Pages 460-466.e1 (September 2006) DOI: 10.1016/j.jvs.2006.04.057 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic of the hybrid treatment with transposition of epiaortic vessels, banding of ascending aorta and deployment of an endograft. Journal of Vascular Surgery 2006 44, 460-466.e1DOI: (10.1016/j.jvs.2006.04.057) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 The first stage of the procedure is surgical debranching of the aortic arch and relocation of the supra-aortic branches. To further optimize the proximal landing zone we later developed surgical banding of the ascending aorta distal to tube-graft epiaortic vessel transposition. Journal of Vascular Surgery 2006 44, 460-466.e1DOI: (10.1016/j.jvs.2006.04.057) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 A and B, Angiogram after endograft implantation. Journal of Vascular Surgery 2006 44, 460-466.e1DOI: (10.1016/j.jvs.2006.04.057) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, B, and C, Follow up computed tomography scan after 2 years shows complete exclusion of the thoracic aneurysm with no endoleak. Journal of Vascular Surgery 2006 44, 460-466.e1DOI: (10.1016/j.jvs.2006.04.057) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions