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Long-segment thoracoabdominal aortic occlusions in childhood

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Presentation on theme: "Long-segment thoracoabdominal aortic occlusions in childhood"— Presentation transcript:

1 Long-segment thoracoabdominal aortic occlusions in childhood
Dawn M. Coleman, MD, Jonathan L. Eliason, MD, Richard G. Ohye, MD, James C. Stanley, MD  Journal of Vascular Surgery  Volume 56, Issue 2, Pages (August 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Reformatted preoperative magnetic resonance angiogram (MRA) in a 5-year-old, documenting occlusion of the thoracic aorta and upper abdominal aorta. Extensive collateral circulation has restored blood flow to the midabdominal aorta just above the renal arteries, as well as the pelvic and lower extremity circulation. B, Postoperative computed tomography angiogram documenting patency of a 16-mm expanded polytetrafluoroethylene (ePTFE) graft originating from the ascending thoracic aorta, with infrarenal abdominal aortic insertion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Reformatted preoperative magnetic resonance angiogram (MRA) in a 13-year-old, documenting absence of the distal thoracic aorta and entire abdominal aorta and extensive collateral reconstitution of the renal and superior mesenteric arteries, as well as of the distal iliac arteries. B, Postoperative computed tomography angiogram documenting the 16- × 8-mm expanded polytetrafluoroethylene (ePTFE) bifurcated graft originating from the midthoracic aorta with its bilateral limbs terminating at the origin of the external iliac arteries. C, Reformatted postoperative computed tomography angiogram of the bifurcated ePTFE graft with a 7-mm ePTFE conduit reconstruction of the right renal artery arising from the right graft limb, and reimplantation of the left renal artery onto the left graft limb. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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