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Distal arch aneurysm repair using stent-grafting and ascending aorto-left axillary bypass  Yukinori Moriyama, MD, Yoshifumi Iguro, MD, Koichi Hisatomi,

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Presentation on theme: "Distal arch aneurysm repair using stent-grafting and ascending aorto-left axillary bypass  Yukinori Moriyama, MD, Yoshifumi Iguro, MD, Koichi Hisatomi,"— Presentation transcript:

1 Distal arch aneurysm repair using stent-grafting and ascending aorto-left axillary bypass 
Yukinori Moriyama, MD, Yoshifumi Iguro, MD, Koichi Hisatomi, MD, Riichiro Toda, MD, Goichi Yotsumoto, MD  The Annals of Thoracic Surgery  Volume 70, Issue 6, Pages (December 2000) DOI: /S (00)

2 Fig 1 Preoperative and postoperative imaging study (patient 3). Preoperative aortography (A) revealed a saccular aneurysm in the distal aortic arch (arrows). Postoperative aortography (B) and computed tomography (CT) (C) taken 2 weeks after the repair demonstrated complete obliteration of aneurysm filling and extraanatomic bypass graft between the ascending aorta and the left subclavian artery (arrows). Follow-up CT (D) taken 4 months after the repair demonstrated reduction of aneurysm size and no endoleaks from intercostal artery. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

3 Fig 2 Semiflexible stent-graft and applicator. A middle segment of the prosthetic graft was free of stent to maintain its flexibility to fit the curvature of the distal aortic arch (A). The stent-graft was introduced into an applicator prepared from a syringe with the tip of its outer barrel cut (B). The Annals of Thoracic Surgery  , DOI: ( /S (00) )

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