A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto,

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Presentation transcript:

A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto, MD, PhD, Masami Sato, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 1, Pages 238-239 (July 2013) DOI: 10.1016/j.jtcvs.2013.02.070 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Computed tomographic scan coronal (left) and sagittal (right) views of tumor (arrows) attached to the distal portion of the aortic arch, 23 mm in length and a third of the circumference. Note the unclear tumor margin. B, Fluorography during stent operation. A customized fenestrated stent was inserted into the target zone of the aorta. Angiograms revealed patency of both the brachiocephalic artery (A) and left common carotid artery (B) without endoleak. Delayed pooling of the left subclavian artery (C) was seen as a result of backflow from the cerebral circulation. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 238-239DOI: (10.1016/j.jtcvs.2013.02.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Intraoperative views. A, The stent can be seen through the defect of the aortic wall. No bleeding was observed during the procedure. B, A Hemashield fabric patch was used to close the defect. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 238-239DOI: (10.1016/j.jtcvs.2013.02.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions