Real chimney technique for total debranching of supra-aortic trunks

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Real chimney technique for total debranching of supra-aortic trunks Masaaki Kato, MD, Hideo Kagaya, MD, Yoji Kubo, MD, Hiroshi Banno, MD, Nobukazu Ohkubo, MD  Journal of Vascular Surgery  Volume 61, Issue 2, Pages 542-545 (February 2015) DOI: 10.1016/j.jvs.2014.08.066 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Real chimney technique for total debranching of supra-aortic trunks: a, Marking of the anastomosis site (oval) in the ascending aorta. b, Six mattress sutures between the ascending aorta and the main trunk of the triple-branched graft (without the use of a side-clamp) above the slated anastomosis hole. c, Stent graft (leg extension of the Gore Excluder; W. L. Gore and Associates, Flagstaff, Ariz) insertion from the center of the anastomosis oval through the oblique-cut triple-branched graft. d, Complete view of total debranching with the real chimney technique and thoracic endovascular aneurysm repair (TEVAR). Journal of Vascular Surgery 2015 61, 542-545DOI: (10.1016/j.jvs.2014.08.066) Copyright © 2015 The Authors Terms and Conditions

Fig 2 Total debranching and thoracic endovascular aneurysm repair (TEVAR) using the real chimney technique for a patient with arch aneurysm. a and b, Preoperative computed tomography scanning shows an arch aneurysm with a plaque-rich aorta. c and d, Postoperative computed tomography scanning shows total debranching and TEVAR of supra-aortic trunks with the real chimney technique completely excluding the arch aneurysm. Journal of Vascular Surgery 2015 61, 542-545DOI: (10.1016/j.jvs.2014.08.066) Copyright © 2015 The Authors Terms and Conditions