Ruptured Thoracoabdominal Aneurysm Treatment With Modified Chimney Stent Graft Mario Marino, MD, Holta Kasemi, MD, Costantino Luca Di Angelo, MD, Gian.

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Ruptured Thoracoabdominal Aneurysm Treatment With Modified Chimney Stent Graft Mario Marino, MD, Holta Kasemi, MD, Costantino Luca Di Angelo, MD, Gian Franco Fadda, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages e37-e40 (August 2014) DOI: 10.1016/j.athoracsur.2014.04.056 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative computed tomography scan, lateral view (SMA = superior mesenteric artery). (B) Preoperative computed tomography scan, axial view. (HA = hepatic artery; SMA = superior mesenteric artery.) The Annals of Thoracic Surgery 2014 98, e37-e40DOI: (10.1016/j.athoracsur.2014.04.056) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Angiography. (B) Thoracic endovascular graft and celiac trunk, superior mesenteric artery (SMA), and right renal artery stent graft deployment. (C) Completion angiography. (D) First month follow-up computed tomography angiography, axial view (arrow indicates endovascular leak from SMA stent graft). (E) First month follow-up computed tomography angiography, three-dimensional reconstruction (arrow indicates endovascular leak from SMA stent graft). The Annals of Thoracic Surgery 2014 98, e37-e40DOI: (10.1016/j.athoracsur.2014.04.056) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Second procedure, superior mesenteric artery (SMA) selective angiography; arrow indicates endovascular leak. (B) Modified stent graft over two guidewires. (C) SMA modified stent graft delivery (arrow). (D) SMA selective angiography; no endovascular leak from SMA modified stent graft (arrow). (E) Eighteen-month follow-up computed tomography angiography. (HA = hepatic artery.) The Annals of Thoracic Surgery 2014 98, e37-e40DOI: (10.1016/j.athoracsur.2014.04.056) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions