Volume 29, Pages (January 2015)

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Volume 29, Pages 36-39 (January 2015) Multi-component Parallel Endografts at Complex TEVAR May Be Prone to Modular Dislocation Causing Novel Endoleaks: A Tale of Two Cases A. Chaudhuri, R. Dey EJVES Short Reports Volume 29, Pages 36-39 (January 2015) DOI: 10.1016/j.ejvssr.2015.10.004 Copyright © 2015 The Authors Terms and Conditions

Figure 1 Patient A (A) Intra-operative angiogram highlighting the aortic anatomy in particular the configuration of the LCCA and LSA. White bars highlight the proximal landing area in Ishimaru zone 1. (B) CT reconstruction highlighting (flower bracket) the modular disruption in the LSA periscope. (C) Intra-operative angiogram highlighting the sealing zone endoleak in the LSA (twin arrows indicate relined section of the dislocated endoprostheses; hollow arrow indicates endoleak due to loss of seal at the LSA). (D) Chest radiograph indication the initial distal landing zone in the LSA (jointed arrow), the extension (double-headed arrow) and the transition (single arrow). (E) Volume-rendered CT reconstruction indicating the relined periscope and the thoracic aortic endograft (left posterolateral view). CT = computed tomography; LCCA = left common carotid artery; LSA = left subclavian artery; TAA = thoracic aortic aneurysm. EJVES Short Reports 2015 29, 36-39DOI: (10.1016/j.ejvssr.2015.10.004) Copyright © 2015 The Authors Terms and Conditions

Figure 2 Patient B (A) Bovine configuration of aortic arch. (B) Modular dislocation in the upper overlap (arrowed) and the intact lower overlap of the LSA periscope (flower bracket). LSA = left subclavian artery; LT = left; CC = common carotid. EJVES Short Reports 2015 29, 36-39DOI: (10.1016/j.ejvssr.2015.10.004) Copyright © 2015 The Authors Terms and Conditions