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Aneurysm expansion caused by an intercostal type II endoleak after thoracic endovascular aortic repair for secondary elephant trunk graft fixation Atsushi Kitagawa, MD, Hitoshi Matsuda, MD, Kenji Okada, MD, Yutaka Okita, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 6, Pages e128-e130 (June 2010) DOI: /j.jtcvs Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions
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Figure 1 Computed tomography scans of descending thoracic aortic aneurysm: 83 mm in 2001 (A), 97 mm in 2004 (B), 110 mm in 2008 (C), and after graft replacement of the descending thoracic aorta (D). The Journal of Thoracic and Cardiovascular Surgery , e128-e130DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions
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Figure 2 Sac size of the descending thoracic aortic aneurysm by year. TAR, Total arch replacement; ETG, elephant trunk graft; TEVAR, thoracic endovascular aortic repair. The Journal of Thoracic and Cardiovascular Surgery , e128-e130DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions
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Figure 3 Angiogram in 2008 showed recurrence of intercostal type II endoleak (∗), which was supplied by the (A) left internal thoracic artery (black arrow) and (B) left costocervical trunk (white arrow). The Journal of Thoracic and Cardiovascular Surgery , e128-e130DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions
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