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Aortic fenestration for chronic aortic dissection type B complicated by transient ischemic attacks of spinal cord  Maraya Altuwaijri, MD, Konstantinos.

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Presentation on theme: "Aortic fenestration for chronic aortic dissection type B complicated by transient ischemic attacks of spinal cord  Maraya Altuwaijri, MD, Konstantinos."— Presentation transcript:

1 Aortic fenestration for chronic aortic dissection type B complicated by transient ischemic attacks of spinal cord  Maraya Altuwaijri, MD, Konstantinos T. Delis, PhD, FRCSI, Terri Vrtiska, MD, Jimmy R. Fulgham, MD, Peter Gloviczki, MD  Journal of Vascular Surgery  Volume 44, Issue 1, Pages (July 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Vascular supply to the spinal cord.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Computed tomography angiogram (CTA) volume-rendered sagittal reconstruction depicting a type B aortic dissection with an intimal flap (arrow) extending from the left subclavian artery (arrowhead) into the proximal descending thoracic aorta. B, Volume-rendered CTA depicts the origins of the lower thoracic intercostal arteries (arrows). C, CTA axial CT image at the level of the mid abdominal aorta with the left L1 lumbar artery (arrow) arising along the posterior margin of the intimal dissection. *Denotes the true lumen of the abdominal aorta. D, Thin section maximum intensity projection coronal CTA depicts the classic “hairpin” curve of the anterior spinal artery junction with the artery of Adamkiewicz (arrows) at the level of the left L1 lumbar artery (L1). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Longitudinal aortotomy with flap exposed. B, Flap excised at T11-L1. C, Felt strips reinforcing closure. D, Felt strip closure. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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