Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa,

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Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa, MD, PhD, Kazuyuki Daitoku, MD, PhD, Yasuyuki Suzuki, MD, PhD, Ikuo Fukuda, MD, PhD  Journal of Vascular Surgery Cases  Volume 1, Issue 1, Pages 32-35 (March 2015) DOI: 10.1016/j.jvsc.2014.10.002 Copyright © 2015 The Authors Terms and Conditions

Fig 1 A, Preoperative computed tomography (CT) scan reveals a dissected aortic aneurysm from the transverse aortic arch to the thoracoabdominal aorta with ascending aortic dilation. B, Thick intercostal arteries (arrows) at the level of Th6 to Th11 arose from the true lumen of the dissected aneurysm. C, Axial view shows the true lumen of the aorta was positioned in the medial side. The arrow shows an intercostal artery (Th9) arising from the true lumen. Journal of Vascular Surgery Cases 2015 1, 32-35DOI: (10.1016/j.jvsc.2014.10.002) Copyright © 2015 The Authors Terms and Conditions

Fig 2 A, Schema shows the extra-anatomic bypass with a plugging stent graft. B, A postoperative computed tomography (CT) scan reveals complete thrombosis and regression in the size of the aneurysm. Journal of Vascular Surgery Cases 2015 1, 32-35DOI: (10.1016/j.jvsc.2014.10.002) Copyright © 2015 The Authors Terms and Conditions