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Tracheal erosion by an innominate artery graft: presentation and surgical repair  Lori D Conklin, MD, Scott A LeMaire, MD, Gregorio J Casar, MD, Joseph.

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Presentation on theme: "Tracheal erosion by an innominate artery graft: presentation and surgical repair  Lori D Conklin, MD, Scott A LeMaire, MD, Gregorio J Casar, MD, Joseph."— Presentation transcript:

1 Tracheal erosion by an innominate artery graft: presentation and surgical repair 
Lori D Conklin, MD, Scott A LeMaire, MD, Gregorio J Casar, MD, Joseph S Coselli, MD  The Annals of Thoracic Surgery  Volume 75, Issue 2, Pages (February 2003) DOI: /S (02)

2 Fig 1 The arch aortogram (A), drawing (B), and computed tomographic scans (C) demonstrate the innominate artery pseudoaneurysm and severe upper airway obstruction. The Annals of Thoracic Surgery  , DOI: ( /S (02) )

3 Fig 2 Fiberoptic bronchoscopy revealed erosion of the innominate artery graft through the anterolateral wall of the trachea. (L = left; R = right.) The Annals of Thoracic Surgery  , DOI: ( /S (02) )

4 Fig 3 (A) During the first stage of repair, a right femoral to right axillary artery bypass was performed to preserve flow (arrows) to the right subclavian and right carotid arteries. (B) The second stage involved removal of the innominate artery graft, primary tracheal repair, and placement of a pedicled left sternocleidomastoid (SCM) muscle flap over the tracheal repair. The Annals of Thoracic Surgery  , DOI: ( /S (02) )

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