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A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch  Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto,

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Presentation on theme: "A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch  Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto,"— Presentation transcript:

1 A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch 
Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto, MD, PhD, Masami Sato, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 1, Pages (July 2013) DOI: /j.jtcvs Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Computed tomographic scan coronal (left) and sagittal (right) views of tumor (arrows) attached to the distal portion of the aortic arch, 23 mm in length and a third of the circumference. Note the unclear tumor margin. B, Fluorography during stent operation. A customized fenestrated stent was inserted into the target zone of the aorta. Angiograms revealed patency of both the brachiocephalic artery (A) and left common carotid artery (B) without endoleak. Delayed pooling of the left subclavian artery (C) was seen as a result of backflow from the cerebral circulation. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative views. A, The stent can be seen through the defect of the aortic wall. No bleeding was observed during the procedure. B, A Hemashield fabric patch was used to close the defect. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

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