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Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart  Shaun MacDonald, MD, Anson Cheung, MD, Ravindar Sidhu, MD, MEd, Pascal.

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Presentation on theme: "Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart  Shaun MacDonald, MD, Anson Cheung, MD, Ravindar Sidhu, MD, MEd, Pascal."— Presentation transcript:

1 Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart 
Shaun MacDonald, MD, Anson Cheung, MD, Ravindar Sidhu, MD, MEd, Pascal Rheaume, MD, S. Marlene Grenon, MD, Jason Clement, MD  Journal of Vascular Surgery  Volume 49, Issue 3, Pages (March 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Computed tomography angiography demonstrates a large false aneurysm off the aortic arch, abutting the sternum and compressing the left lung. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A 22F sheath has been introduced into the left ventricle apex, through orthogonally placed felt pledgeted U-shaped sutures. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 An angiogram demonstrates an introducer sheath in the left ventricle, containing the TAG endograft about to be passed “bareback” across the aortic valve. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 A completion angiogram reveals the repaired aortic arch false aneurysm with patent coronary arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

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