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Occlusion of the Left Subclavian Artery With Stent Grafts Is Safer With Protective Reconstruction  Burkhart Zipfel, MD, Semih Buz, MD, Robert Hammerschmidt,

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Presentation on theme: "Occlusion of the Left Subclavian Artery With Stent Grafts Is Safer With Protective Reconstruction  Burkhart Zipfel, MD, Semih Buz, MD, Robert Hammerschmidt,"— Presentation transcript:

1 Occlusion of the Left Subclavian Artery With Stent Grafts Is Safer With Protective Reconstruction 
Burkhart Zipfel, MD, Semih Buz, MD, Robert Hammerschmidt, MD, Roland Hetzer, MD, PhD  The Annals of Thoracic Surgery  Volume 88, Issue 2, Pages (August 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Hybrid procedure of simultaneous left subclavian artery (LSA) bypass and stent grafting: intraoperative situs showing the left common carotid artery to LSA bypass with a pigtail catheter inserted for target angiography. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Hybrid procedure of simultaneous left subclavian artery (LSA) bypass and stent grafting: intraoperative angiograms from a 79-year-old man with type-B dissection. (A) The pigtail catheter through the bypass marks the origin of the left common carotid artery (LCCA). (B) The covered part of the Relay stent graft has been placed exactly behind the LCCA origin. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Secondary left subclavian artery (LSA) bypass: computed tomography reconstruction from a 36-year-old-man with blunt traumatic rupture. The left common carotid artery to LSA bypass was implanted 16 days after the stent graft procedure. The rupture is completely excluded by the E-vita stent graft. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Left subclavian artery (LSA) transposition to prevent type II endoleak through the LSA. Intraoperative angiograms from a 28-year-old man with patch aneurysm after coarctation repair in childhood: (A) target angiography shows the stump of the huge LSA after preliminary transposition; (B) completion angiogram demonstrates complete exclusion of the aneurysms, a minimal blush of dye in the LSA stump, and the rectangular anastomosis of the LSA to left common carotid artery transposition. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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