Total Endovascular Repair of an Aortic Arch Aneurysm Using an Externalized Transseptal Guidewire Technique Pascal Rheaume, MD, Paolo Perini, MD, Mickael.

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Presentation transcript:

Total Endovascular Repair of an Aortic Arch Aneurysm Using an Externalized Transseptal Guidewire Technique Pascal Rheaume, MD, Paolo Perini, MD, Mickael Daligault, MD, Blandine Maurel, MD, Jonathan Sobocinski, Richard Azzaoui, MD, Mohamed Amine Laghzaoui, MD, François Brigadeau, MD, Stéphan Haulon, MD, PhD The Annals of Thoracic Surgery Volume 93, Issue 5, Pages 1710-1713 (May 2012) DOI: 10.1016/j.athoracsur.2011.10.030 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative computed tomography scan three-dimensional volume rendering reconstruction and (B) drawing of the aortic arch aneurysm. The Annals of Thoracic Surgery 2012 93, 1710-1713DOI: (10.1016/j.athoracsur.2011.10.030) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Custom-made arch endograft with two inner branches to revascularize the innominate artery and the left common carotid artery. The Annals of Thoracic Surgery 2012 93, 1710-1713DOI: (10.1016/j.athoracsur.2011.10.030) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A transseptal guiding introducer (red arrow) is brought into the right atrium and through the foramen ovale. A 400-cm-long hydrophilic guide wire is navigated through the mitral valve, the left ventricle (black arrow), and the aortic valve into the descending thoracic aorta. The Annals of Thoracic Surgery 2012 93, 1710-1713DOI: (10.1016/j.athoracsur.2011.10.030) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Three-dimensional volume rendering reconstruction showing good positioning of the endograft and two patent branches. The Annals of Thoracic Surgery 2012 93, 1710-1713DOI: (10.1016/j.athoracsur.2011.10.030) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions