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Endovascular treatment of the descending thoracic aorta in a patient with a hydatid pseudoaneurysm  Pierro Volpe, MD, Ilias Dalainas, MD, PhD, Maurizio.

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Presentation on theme: "Endovascular treatment of the descending thoracic aorta in a patient with a hydatid pseudoaneurysm  Pierro Volpe, MD, Ilias Dalainas, MD, PhD, Maurizio."— Presentation transcript:

1 Endovascular treatment of the descending thoracic aorta in a patient with a hydatid pseudoaneurysm 
Pierro Volpe, MD, Ilias Dalainas, MD, PhD, Maurizio Ruggieri, MD, Giovanni Nano, MD, Giovanni Paroni, MD  Journal of Vascular Surgery  Volume 44, Issue 5, Pages (November 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Computed tomography (CT) and magnetic resonance images (MRI) taken just before placement of the first homemade endograft in 1999 show systematic hydatidosis and sacciform pseudoaneurysm of the descending thoracic aorta. The arrow shows dissemination into the pancreas. B, The arrows show dissemination of the disease in both kidneys. C, The arrow shows dissemination of the disease into the internal obturatoris muscle. D, The arrows in this MRI show the point of erosion of T8-T9 vertebras. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Follow-up in 2002, 3 years after the homemade endoprosthesis placement, shows the endograft is in place, excluding the aneurysm. B, Radiograph in 2004 shows drop-migration of the endoprosthesis. The arrow shows a point of kinking of the endograft. C, Angiography shows that the pseudoaneurysm is not excluded. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Postoperative computed tomography scan shows the correct placement of the endoprosthesis and the exclusion of the pseudoaneurysm. B, The arrow in postprocedural angiography shows the severe stenosis of the aorta. C, Angiographic control after stenting of the aortic stenosis. The arrow shows the Palmaz-stented part of the aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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