Hybrid Endovascular Repair of a Right-Sided Thoracoabdominal Aortic Aneurysm Mamoru Hamuro, MD, Tomoyuki Yamada, MD, PhD, Kenji Yamamoto, MD, PhD, Sakae.

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Hybrid Endovascular Repair of a Right-Sided Thoracoabdominal Aortic Aneurysm Mamoru Hamuro, MD, Tomoyuki Yamada, MD, PhD, Kenji Yamamoto, MD, PhD, Sakae Enomoto, MD, PhD, Masahide Kawatou, MD The Annals of Thoracic Surgery Volume 103, Issue 5, Pages e437-e440 (May 2017) DOI: 10.1016/j.athoracsur.2016.10.013 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative computed tomographic (A) axial and (B) cranial views showing a right-sided thoracoabdominal aortic aneurysm extending distally to the renal arterial level. The Annals of Thoracic Surgery 2017 103, e437-e440DOI: (10.1016/j.athoracsur.2016.10.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Illustrations of the visceral debranching procedure. (A) Preoperative and (B) postoperative anatomies. (AAA = abdominal aortic aneurysm; CA = celiac artery; CHA = common hepatic artery; CIA = common iliac artery; EIA = external iliac artery; LGA = left gastric artery; SA = splenic artery; SMA = superior mesenteric artery; SVG = saphenous vein graft; TAAA = thoracoabdominal aortic aneurysm.) The Annals of Thoracic Surgery 2017 103, e437-e440DOI: (10.1016/j.athoracsur.2016.10.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Three-dimensional computed tomographic views (A) before and (B) after hybrid endovascular repair. The postprocedural view shows complete exclusion of the thoracoabdominal aortic aneurysm and patency of the bypass grafts. The Annals of Thoracic Surgery 2017 103, e437-e440DOI: (10.1016/j.athoracsur.2016.10.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions