Transapical thoracic endovascular aortic repair in aortic arch aneurysm through a pre- existent bioprosthetic aortic valve  Eijiro Nogami, MD, Junji Yunoki,

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Transapical thoracic endovascular aortic repair in aortic arch aneurysm through a pre- existent bioprosthetic aortic valve  Eijiro Nogami, MD, Junji Yunoki, MD, PhD, Takahiro Kitsuka, MD, Manabu Itoh, MD, PhD, Atsuhisa Tanaka, MD, Takahiro Nishida, MD, PhD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 4, Issue 4, Pages 265-267 (December 2018) DOI: 10.1016/j.jvscit.2018.07.003 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Three-dimensional computed tomography revealed that the bilateral iliac leg of 8 mm of the Y-graft was extremely kinked (arrowheads). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 265-267DOI: (10.1016/j.jvscit.2018.07.003) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 The stent graft is passing through a bioprosthetic valve (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 265-267DOI: (10.1016/j.jvscit.2018.07.003) Copyright © 2018 The Author(s) Terms and Conditions

Fig 3 No endoleak was observed on postoperative contrast-enhanced computed tomography. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 265-267DOI: (10.1016/j.jvscit.2018.07.003) Copyright © 2018 The Author(s) Terms and Conditions