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Safe Resection of the Aortic Wall Infiltrated by Lung Cancer After Placement of an Endoluminal Prosthesis  Giuseppe Marulli, MD, PhD, Federico Rea, MD,

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Presentation on theme: "Safe Resection of the Aortic Wall Infiltrated by Lung Cancer After Placement of an Endoluminal Prosthesis  Giuseppe Marulli, MD, PhD, Federico Rea, MD,"— Presentation transcript:

1 Safe Resection of the Aortic Wall Infiltrated by Lung Cancer After Placement of an Endoluminal Prosthesis  Giuseppe Marulli, MD, PhD, Federico Rea, MD, Davide Zampieri, MD, Michele Antonello, MD, Giulio Maurizi, MD, Federico Venuta, MD, Camilla Poggi, MD, Erino Angelo Rendina, MD  The Annals of Thoracic Surgery  Volume 99, Issue 5, Pages (May 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative computed tomography scan showing a lung cancer invading the aortic wall (A) at the origin of the descending aorta and (B) of the descending aorta below the level of the carina. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Preoperative computed tomography scan showing the correct placement of the endograft (A) at the level of aortic arch (after the origin of subclavian artery) and descending aorta (sagittal view), and at the level of the descending aorta, (B) sagittal view and (C) axial view. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Intraoperative view of a large aortic wall resection. The descending aorta has been encircled between tourniquets above and below the invaded area to grip the endograft positioned in a one-stage procedure avoiding any displacement. (B) Intraoperative view of a deep (adventitia and media) vascular wall resection at the level of the descending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Intraoperative view showing the buttressing of the aortic defect with (A) Gore-Tex (W.L. Gore and Associates, Inc, Flagstaff, AZ) and (B) Dacron patches (Maquet Intergard; MAQUET Holding GmbH & Co KG, Germany). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Overall survival curve. Circles indicate censored. (Pts = patients.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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