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Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome  Jasper W. van Keulen, MD, Frans L. Moll,

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Presentation on theme: "Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome  Jasper W. van Keulen, MD, Frans L. Moll,"— Presentation transcript:

1 Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome  Jasper W. van Keulen, MD, Frans L. Moll, MD, PhD, A. Khodadade Jahrome, MD, Joost A. van Herwaarden, MD, PhD  Journal of Vascular Surgery  Volume 50, Issue 1, Pages (July 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Computed tomographic angiography (CTA) of the thoracic aorta showing a type B dissection, sagittal view. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Computed tomographic angiography (CTA) performed after the first procedure, sagittal view. Successful closure of the primary intimal tear was seen. B, CTA performed 3 weeks after the first procedure, sagittal view. A proximal pseudoaneurysm, based on perforation of a proximal bare strut through the aortic wall, was seen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Angiography performed before deployment of the second stent graft. Note the obvious dislocation of the first stent graft with perforation of the aortic wall and contrast extravasation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Computed tomographic angiography (CTA) of the thoracic aorta with three-dimensional volumetric reconstruction that shows successful exclusion of the pseudoaneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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