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Pan-aortic hybrid treatment of mega-aorta syndrome

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Presentation on theme: "Pan-aortic hybrid treatment of mega-aorta syndrome"— Presentation transcript:

1 Pan-aortic hybrid treatment of mega-aorta syndrome
Asad A. Shah, MD, Syamal D. Bhattacharya, MD, Richard L. McCann, MD, G. Chad Hughes, MD  Journal of Vascular Surgery  Volume 53, Issue 5, Pages (May 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative computed tomography angiography demonstrating (A) 5.5 cm ascending and transverse aortic arch aneurysm (arrow); (B) 6.1-cm Extent II thoracoabdominal aneurysm (arrow); and (C) left subclavian artery aneurysm (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Three-dimensional reconstruction computed tomography angiography after stage I repair demonstrating intact aortic root (arrow one) and total arch replacement with elephant trunk (arrow two). The innominate and left common carotid arteries have been individually reimplanted into a multi-branch Dacron graft (arrow three); the left subclavian artery has been ligated proximally and bypassed distally (patent bypass not included in image field of view) to exclude the symptomatic subclavian aneurysm. Note residual distal arch/Extent II thoracoabdominal aortic aneurysm (TAAA). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Illustration of completed stage I and stage II repair.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Three-dimensional reconstruction computed tomography angiography 1 year after stage II repair demonstrating intact repair with aneurysm exclusion, no endoleak, and patent grafts (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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