Surgical treatment of thoracoabdominal aortic mural and floating thrombi extending to infrarenal aorta Hisato Takagi, MD, PhD, Yoshio Mori, MD, PhD,

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Presentation transcript:

Surgical treatment of thoracoabdominal aortic mural and floating thrombi extending to infrarenal aorta Hisato Takagi, MD, PhD, Yoshio Mori, MD, PhD, Yukio Umeda, MD, PhD, Yukiomi Fukumoto, MD, PhD, Yukihiro Matsuno, MD, Yoshimasa Mizuno, MD, Hajime Hirose, MD, PhD Journal of Vascular Surgery Volume 37, Issue 6, Pages 1324-1327 (June 2003) DOI: 10.1016/S0741-5214(02)75466-9

Fig 1 Aortogram shows narrowing of the infrarenal abdominal aorta, and patent celiac, superior mesenteric, and bilateral renal arteries (left), and occlusion of the right common iliac artery (right). Journal of Vascular Surgery 2003 37, 1324-1327DOI: (10.1016/S0741-5214(02)75466-9)

Fig 2 CT scans reveal mural and floating thrombi in the thoracoabdominal aorta, including an infrarenal segement, preoperatively (upper panel), and little mural thrombi in the thoracoabdominal aorta postoperatively (lower panel). Journal of Vascular Surgery 2003 37, 1324-1327DOI: (10.1016/S0741-5214(02)75466-9)

Fig 3 Residual mural thrombi were revealed with a fine fiberscopy probe inserted into the abdominal aorta through the aortotomy (left panel). Intravascular ultrasound revealed little remaining mural thrombi and that the celiac artery (CA), superior mesenteric artery (SMA), and left renal artery (LRA) and right renal artery (RRA) were patent (right panel). Journal of Vascular Surgery 2003 37, 1324-1327DOI: (10.1016/S0741-5214(02)75466-9)