The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

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Presentation transcript:

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of Vascular Surgery Volume 37, Issue 1, Pages 214-218 (January 2003) DOI: 10.1067/mva.2003.72 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Anastomosis of distal aspect of side-arm conduit to left common iliac artery is performed first. When this vessel is heavily diseased, external iliac artery provides second outflow option. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Proximal aortic anastomosis is constructed, and clamp is moved to point just distal to side arm. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Visceral patch anastomosis is sewn, including celiac, superior mesenteric, and right renal ostia. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Left renal anastomosis is constructed to side of main graft. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Side arm facilitates construction of intercostal anastomoses. Anastomosis of two patches of intercostal pairs has been depicted in this case. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 Completed procedure. Journal of Vascular Surgery 2003 37, 214-218DOI: (10.1067/mva.2003.72) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions