Endovascular management of ascending aortic pathology

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Presentation transcript:

Endovascular management of ascending aortic pathology Ralf R. Kolvenbach, MD, PhD, Ron Karmeli, MD, Lazlo S. Pinter, MD, Yuefeng Zhu, MD, Fan Lin, MD, Sergej Wassiljew, MD, Markus Meyer-Gaessner, MD Journal of Vascular Surgery Volume 53, Issue 5, Pages 1431-1437 (May 2011) DOI: 10.1016/j.jvs.2010.10.133 Copyright © 2011 Terms and Conditions

Fig 1 A, A tubular-shaped aneurysm. B, A conical shaped aneurysm. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions

Fig 2 A, Aortic regurgitation is shown after passage of the endograft through the aortic valve. The tip of the endograft is in the left ventricle. B, The endograft has been partially deployed. C, Control coronary angiography after stent deployment shows the bare springs are near the right coronary artery. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions

Fig 3 A, The proximal landing zone in a conical-shaped ascending aortic aneurysm is shown after aortic valve repair with a valve-bearing conduit. B, A type I leak was still noted after stent graft deployment. C, The aneurysm sac was coiled through the innominate artery. D, Plain X-ray film shows large-caliber coils near the endograft. E, Illustration shows the stent graft and coils in the aneurysm sac. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions

Fig 4 A, A floating thrombus in ascending aorta. B, Coronal section of contrast-enhanced computed tomography scan shows the exact placement of stent graft. C, A 3-dimensional reconstruction shows the stent graft location is close to the aortic valve and coronary sinus. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions

Fig 5 A, A computed tomography reconstruction shows the stent graft. B, Illustration shows kinking of the stent graft. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions

Fig 6 A, A conical-shaped aneurysm. B, A 3-dimensional reconstruction after aneurysm exclusion. Journal of Vascular Surgery 2011 53, 1431-1437DOI: (10.1016/j.jvs.2010.10.133) Copyright © 2011 Terms and Conditions