Total Thoracoabdominal Aortic Replacement in a Marfan Patient Following Heart Transplantation and Hemiarch Repair K.-M. Chiu, S.-H. Chu, J.-S. Chen,

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Total Thoracoabdominal Aortic Replacement in a Marfan Patient Following Heart Transplantation and Hemiarch Repair K.-M. Chiu, S.-H. Chu, J.-S. Chen, S.-J. Li, C.-Y. Chan, T.-Y. Lin EJVES Extra Volume 13, Issue 1, Pages 4-6 (January 2007) DOI: 10.1016/j.ejvsextra.2006.10.001 Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 1 Triple-barrel dissecting thoracic aorta sizing 10cm showed in (A) axial cut and (B) Sagital cut. (C) The schematic drawing shows previous hemiarch repair and current dissecting thoracoabdominal aortic aneurysm on the projection of an ordinary chest film. EJVES Extra 2007 13, 4-6DOI: (10.1016/j.ejvsextra.2006.10.001) Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 2 (A) The intraoperative photo shows complex revascularization. I: intercostal graft; L: lumbar graft, R: the graft to left renal artery; V: the graft to celiac trunk, superior mesenteric and right renal arteries. (B) The schematic drawing simplifies the operative procedures. (C) Postoperative magnetic resonance image shows the reconstructed result. Notify the occluded intercostal graft remnant. EJVES Extra 2007 13, 4-6DOI: (10.1016/j.ejvsextra.2006.10.001) Copyright © 2006 Elsevier Ltd Terms and Conditions