Joseph S Coselli, Luiz F.Poli de Figueiredo, Scott A LeMaire

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Presentation transcript:

Impact of Previous Thoracic Aneurysm Repair on Thoracoabdominal Aortic Aneurysm Management Joseph S Coselli, Luiz F.Poli de Figueiredo, Scott A LeMaire The Annals of Thoracic Surgery Volume 64, Issue 3, Pages 639-650 (September 1997) DOI: 10.1016/S0003-4975(97)00618-8

Fig. 1 (A) Preoperative drawing and aortogram demonstrating previous proximal descending thoracic tube graft replacement and aortic bifurcation graft replacement in a patient in whom an aneurysm of the intervening thoracoabdominal aorta later developed secondary to chronic fusiform medial degeneration. (B) Postoperative drawing and aortogram after graft replacement of the thoracoabdominal aortic aneurysm with island reattachment of the celiac axis, superior mesenteric, and right renal arteries, and separate reattachment of the left renal artery. The Annals of Thoracic Surgery 1997 64, 639-650DOI: (10.1016/S0003-4975(97)00618-8)

Fig. 2 (A) Preoperative drawing and aortogram demonstrating previous composite valve graft replacement of the ascending aorta and descending thoracic aortic tube graft replacement in a patient with Marfan’s syndrome in whom an extent IV thoracoabdominal aortic aneurysm subsequently developed secondary to localized dissection. (B) Postoperative drawing and aortogram after thoracoabdominal graft replacement with reattachment of the celiac, superior mesenteric, and both renal arteries. The Annals of Thoracic Surgery 1997 64, 639-650DOI: (10.1016/S0003-4975(97)00618-8)

Fig. 3 (A) Preoperative drawing and aortogram demonstrating previous ascending, descending, and aortic bifurcation graft replacements in a patient in whom an intervening thoracoabdominal aneurysm developed. (B) Postoperative drawing and aortogram after thoracoabdominal aortic aneurysm replacement with preservation of intercostal arteries, island reattachment of the celiac axis, superior mesenteric artery, and right renal artery, and separate tube graft bypass to the left renal artery. The Annals of Thoracic Surgery 1997 64, 639-650DOI: (10.1016/S0003-4975(97)00618-8)