Endovascular repair of thoracic stent-graft bulging rupture in a patient with multiple thoracic aneurysms due to Takayasu disease Guido Regina, MD, Alessandro.

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Presentation transcript:

Endovascular repair of thoracic stent-graft bulging rupture in a patient with multiple thoracic aneurysms due to Takayasu disease Guido Regina, MD, Alessandro Bortone, MD, Giovanni Impedovo, MD, Emanuela De Cillis, MD, Domenico Angiletta, MD, Vincenzo Marotta, MD Journal of Vascular Surgery Volume 45, Issue 2, Pages 391-394 (February 2007) DOI: 10.1016/j.jvs.2006.10.001 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Connecting bar fracture of the Excluder device with a mild enlargement of thoracic aorta due to the device bulging. Journal of Vascular Surgery 2007 45, 391-394DOI: (10.1016/j.jvs.2006.10.001) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Angiographic-computed tomography scan: severe enlargement of the descending thoracic aorta (70 mm), bulging rupture of Excluder stent graft, and presence of two small aneurysms near the distal implantation site. Journal of Vascular Surgery 2007 45, 391-394DOI: (10.1016/j.jvs.2006.10.001) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Angiographic-computed tomography scan: severe enlargement of the descending thoracic aorta (70 mm), bulging rupture of Excluder stent graft, and presence of two small aneurysms near the distal implantation site. Journal of Vascular Surgery 2007 45, 391-394DOI: (10.1016/j.jvs.2006.10.001) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Telescope-fashion implantation of a new endovascular device, with complete exclusion of the thoracic aneurysm and of the small distal ones without any evidence of endoleaks or dislodgement. Journal of Vascular Surgery 2007 45, 391-394DOI: (10.1016/j.jvs.2006.10.001) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 3D Angiographic CT scan: complete exclusion of the aneurysms with the implantation of a new graft inside the previous graft. Journal of Vascular Surgery 2007 45, 391-394DOI: (10.1016/j.jvs.2006.10.001) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions