Type IV Thoraco-Abdominal Aortic Aneurysm (TAAA IV) with Occlusion of Celiac and Superior Mesenteric Arteries in a High Risk Patient: Successful Treatment.

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Type IV Thoraco-Abdominal Aortic Aneurysm (TAAA IV) with Occlusion of Celiac and Superior Mesenteric Arteries in a High Risk Patient: Successful Treatment with a Hybrid Traditional Vascular and Endovascular Procedure F. Grego, G.P. Deriu, R. Stramanà, P. Frigatti, R. Ragazzi EJVES Extra Volume 9, Issue 5, Pages 87-89 (May 2005) DOI: 10.1016/j.ejvsextra.2005.02.009 Copyright © 2005 Terms and Conditions

Fig. 1 Pre-operative CT scan of the thoraco abdominal aorta showing the short sovrarenal aortic neck (1cm) and the ‘cul de sac’ (b) of the lower thoracic aorta aneurysm over the renal arteries. EJVES Extra 2005 9, 87-89DOI: (10.1016/j.ejvsextra.2005.02.009) Copyright © 2005 Terms and Conditions

Fig. 2 Intraoperative DSA (a) and illustration (b) of the complete endovascular exclusion of the lower thoracic aneurysm using two custom made endofit graft (overlapping 30mm) with the precise sovrarenal landing and preservation of a couple of intercostal artery. Arrows in (a) indicate left and right renal arteries with bilateral kidney perfusion. EJVES Extra 2005 9, 87-89DOI: (10.1016/j.ejvsextra.2005.02.009) Copyright © 2005 Terms and Conditions