Ascending aortic arch replacement with aortic valve resuspension under deep hypothermic arrest combined with endoluminal stenting of the descending thoracic.

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Presentation transcript:

Ascending aortic arch replacement with aortic valve resuspension under deep hypothermic arrest combined with endoluminal stenting of the descending thoracic aorta and the entire abdominal aorta Maqsood M. Elahi, FACS, Mahmoud Jafari Giv, MBBS, Mayur Krishnaswamy, MBBS, Craig McLachlan, PhD, Peter J. Mossop, FRACR, Ian K. Nixon, FRACS The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 4, Pages 1032-1035 (October 2009) DOI: 10.1016/j.jtcvs.2008.06.045 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Multislice computed tomography performed on transfer of the patient to the tertiary referral institution with an initial diagnosis of aortic dissection. B, Arch of the aorta showing the 30-mm intervascular woven graft and great vessels. The dissected aortic, ascending aorta, and arch were excised, leaving an island of head and neck vessels and the distal aorta. The wall was reconstituted, and the graft was fashioned to fit the arch. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1032-1035DOI: (10.1016/j.jtcvs.2008.06.045) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Three-dimensional computed tomography angiogram scan 2 weeks after endovascular repair. Obliteration of the false lumen throughout the stented thoracoabdominal aorta with maintenance of all branch vessels is demonstrated. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1032-1035DOI: (10.1016/j.jtcvs.2008.06.045) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions