Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm Jeffrey Jim,

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Presentation transcript:

Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm Jeffrey Jim, MD, Luis A. Sanchez, MD, Brian G. Rubin, MD Journal of Vascular Surgery Volume 52, Issue 3, Pages 730-733 (September 2010) DOI: 10.1016/j.jvs.2010.03.062 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative CT scan. A, Coronal view demonstrated large intercostal patch aneurysm with patent aorta-left renal bypass graft (arrow). B, Three-dimensional reconstruction with lateral view of the patch aneurysm with patent aortorenal bypass supplying the left kidney. Journal of Vascular Surgery 2010 52, 730-733DOI: (10.1016/j.jvs.2010.03.062) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative angiogram confirmed the findings on computed tomography (CT) scan. The patent aorto-left renal bypass is noted (arrow). Journal of Vascular Surgery 2010 52, 730-733DOI: (10.1016/j.jvs.2010.03.062) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Surgeon-modified branched thoracic endograft. Journal of Vascular Surgery 2010 52, 730-733DOI: (10.1016/j.jvs.2010.03.062) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 After deployment of the surgeon-modified thoracic endograft, angiography confirmed cannulation of the aorto-left renal bypass graft from the brachial approach. Journal of Vascular Surgery 2010 52, 730-733DOI: (10.1016/j.jvs.2010.03.062) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Three-dimensional reconstruction of postoperative computed tomography (CT) scan. Journal of Vascular Surgery 2010 52, 730-733DOI: (10.1016/j.jvs.2010.03.062) Copyright © 2010 Society for Vascular Surgery Terms and Conditions