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Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery  Roberto Chiesa, MD, Yamume Tshomba, MD, Germano Melissano,

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Presentation on theme: "Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery  Roberto Chiesa, MD, Yamume Tshomba, MD, Germano Melissano,"— Presentation transcript:

1 Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery 
Roberto Chiesa, MD, Yamume Tshomba, MD, Germano Melissano, MD, Enrico M. Marone, MD, Luca Bertoglio, MD, Francesco Setacci, MD, Fabio M. Calliari, MD  Journal of Vascular Surgery  Volume 45, Issue 6, Pages (June 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Preoperative computed tomography angiography (CTA) scan shows a type II thoracoabdominal aortic aneurysm (TAAA) in a previous unsuccessful attempt of open and endovascular thoracic aneurysm repair. B, Intraoperative photograph shows the creation of an infrarenal neck with grafting of aneurysmatic aorta and two customized Y grafts directed to the renal arteries, the celiac trunk and the superior mesenteric artery. C, Postoperative CTA and drawing D, shows patency of the Y grafts and correct deployment of the thoracoabdominal endograft with complete aneurysm exclusion of the TAAA. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A,Preoperative computed tomography angiography (CTA) shows a type I thoracoabdominal aortic aneurysm (TAAA) in a previous AAA repair. B, Intraoperative photograph shows the detail of the customized Y graft directed to the celiac trunk and superior mesenteric artery from the right common iliac artery. Postoperative CTA shows patency of the Y graft and correct deployment just above the renal arteries with aneurysm exclusion of the TAAA of the thoracoabdominal endograft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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