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Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm  Jeffrey Jim,

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Presentation on theme: "Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm  Jeffrey Jim,"— Presentation transcript:

1 Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm  Jeffrey Jim, MD, Luis A. Sanchez, MD, Brian G. Rubin, MD  Journal of Vascular Surgery  Volume 52, Issue 3, Pages (September 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative CT scan. A, Coronal view demonstrated large intercostal patch aneurysm with patent aorta-left renal bypass graft (arrow). B, Three-dimensional reconstruction with lateral view of the patch aneurysm with patent aortorenal bypass supplying the left kidney. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Intraoperative angiogram confirmed the findings on computed tomography (CT) scan. The patent aorto-left renal bypass is noted (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Surgeon-modified branched thoracic endograft.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

5 Fig 4 After deployment of the surgeon-modified thoracic endograft, angiography confirmed cannulation of the aorto-left renal bypass graft from the brachial approach. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Three-dimensional reconstruction of postoperative computed tomography (CT) scan. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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