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Open repair of an aortic aneurysm in a patient with Loeys-Dietz syndrome using Gore hybrid vascular branch grafts  Sabine Wipper, MD, Nikolaos Tsilimparis,

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Presentation on theme: "Open repair of an aortic aneurysm in a patient with Loeys-Dietz syndrome using Gore hybrid vascular branch grafts  Sabine Wipper, MD, Nikolaos Tsilimparis,"— Presentation transcript:

1 Open repair of an aortic aneurysm in a patient with Loeys-Dietz syndrome using Gore hybrid vascular branch grafts  Sabine Wipper, MD, Nikolaos Tsilimparis, MD, Tilo Kölbel, MD, PhD, Günter Daum, PhD, Yskert von Kodolitsch, MD, E. Sebastian Debus, MD, PhD  Journal of Vascular Surgery Cases  Volume 1, Issue 2, Pages (June 2015) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 A, Preoperative multiplane reconstruction in the computed tomography scan shows a penetrating aortic ulcer (PAU) at the junction of aortic arch and the descending aorta on the minor curvature (blank arrow) as well as additional aneurysms of two intercostal arteries and both internal mammary arteries, with a maximal diameter of 19 mm (filled arrows). B, Preoperative three-dimensional volume-rendered computed tomography scan of the supraceliac aorta shows rapidly progressing false lumen expansion with aneurysmatic dilatation. The PAU and the intercostal and mammary artery aneurysms are not visible in this reconstructed image. Journal of Vascular Surgery Cases 2015 1, 69-72DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 Terminolateral anastomosis of the four Gore Hybrid Vascular Grafts (GHVGs; W. L. Gore and Assoc, Flagstaff, Ariz) to the tube graft under partial cross-clamping (6-0 Prolene; Ethicon, Somerville, NJ). Journal of Vascular Surgery Cases 2015 1, 69-72DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 A 3-month follow-up three-dimensional volume-rendered computed tomography scan confirms patent visceral grafts without any deterioration of renal function and successful exclusion of the aneurysm. Journal of Vascular Surgery Cases 2015 1, 69-72DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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