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Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access  Luca Botta, MD, PhD, Giuseppe Bruschi, MD, Pasquale.

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Presentation on theme: "Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access  Luca Botta, MD, PhD, Giuseppe Bruschi, MD, Pasquale."— Presentation transcript:

1 Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access  Luca Botta, MD, PhD, Giuseppe Bruschi, MD, Pasquale Fratto, MD, Vito Margari, MD, Marco Solcia, MD, Francesco Borgia, MD, Antonio Rampoldi, MD, Claudio Francesco Russo, MD  The Annals of Thoracic Surgery  Volume 102, Issue 2, Pages e117-e119 (August 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) A huge aneurysm of the thoracic aorta in patient 2. (B) The 24F sheath (white arrow) did not advance through the branches of the bifurcated graft, creating folds and wrinkles. (C) The procedure started with a distal stent graft, positioned 1 cm above the celiac trunk (white arrow). The blue arrow shows the entry site just above the sinotubular junction. (D) Computed tomography scan reconstruction (2y-FU) showing a satisfactory outcome without any aortic-related complication. The Annals of Thoracic Surgery  , e117-e119DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) A right anterior minithoracotomy (second intercostal space) was performed in patient 1 and 2 concentric pursestrings were placed in a standard fashion. (B) Computed tomography scan (5y-FU) showing a good technical result. The Annals of Thoracic Surgery  , e117-e119DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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