Primary endoleakage in endovascular treatment of the thoracic aorta: Importance of intraoperative transesophageal echocardiography Rossella Fattori,

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Primary endoleakage in endovascular treatment of the thoracic aorta: Importance of intraoperative transesophageal echocardiography Rossella Fattori, MDa, Ilaria Caldarera, MD, PhDb, Claudio Rapezzi, MDc, Guido Rocchi, MDc, Gabriella Napoli, MDa, Mario Parlapiano, MDb, Marco Favali, MDa, Angelo Pierangeli, MDb, Giampaolo Gavelli, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 120, Issue 3, Pages 490-495 (September 2000) DOI: 10.1067/mtc.2000.108904 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 A, Perigraft leak detected by TEE color Doppler sonography (arrow). B, After balloon inflation, no flow is visible in the perigraft space. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 490-495DOI: (10.1067/mtc.2000.108904) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 A, and B, Spiral CT scans revealing an endoleak in a large fusiform post-traumatic aneurysm after stent treatment. C and D, Three-month follow-up scans showed a spontaneous thrombosis. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 490-495DOI: (10.1067/mtc.2000.108904) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 A, TEE color Doppler sonogram showing a perigraft leak immediately after stent deployment, with a high flow velocity. B, After successive balloon inflations, a slow flow velocity remains in the aneurysmal sac, indicative of minimal graft porosity. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 490-495DOI: (10.1067/mtc.2000.108904) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions