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Treatment strategies for left subclavian artery during total arch replacement combined with stented elephant trunk implantation  Zhenghua Xiao, MD, Wei.

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Presentation on theme: "Treatment strategies for left subclavian artery during total arch replacement combined with stented elephant trunk implantation  Zhenghua Xiao, MD, Wei."— Presentation transcript:

1 Treatment strategies for left subclavian artery during total arch replacement combined with stented elephant trunk implantation  Zhenghua Xiao, MD, Wei Meng, MD, Da Zhu, MD, Yingqiang Guo, MD, Eryong Zhang, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 147, Issue 2, Pages (February 2014) DOI: /j.jtcvs Copyright © Terms and Conditions

2 Figure 1 The proximal arch was transected between the LSA and the LCCA. The LSA was ligatured because of its deep position. LCCA, Left common carotid artery; LSA, left subclavian artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

3 Figure 2 A, The stented graft (Shanghai MicroPort Medical Co, Ltd, Shanghai, China). B, The 4-branch artificial vessel (Datascope Co, Montvale, NJ). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

4 Figure 3 CT scans of the 3-dimensional reconstruction. A, Overview of the reconstructed ascending aorta, aortic arch, and descending aorta. B, Details of dealing with the LSA. C, CT scan shows branch vascular prosthesis penetrating through the left first intercostals. LSA, Left subclavian artery; LAA, left axillary artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

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