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Hybrid Transcatheter-Surgical Strategy in Arterial Tortuosity Syndrome

Published byCaterina Corsini Modified over 5 years ago

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Presentation on theme: "Hybrid Transcatheter-Surgical Strategy in Arterial Tortuosity Syndrome"— Presentation transcript:

1 Hybrid Transcatheter-Surgical Strategy in Arterial Tortuosity Syndrome
Giuseppe Santoro, MD, Giuseppe Caianiello, MD, Giovanni Rossi, MD, Gabriella Farina, MD, Maria Giovanna Russo, MD, Raffaele Calabrò, MD  The Annals of Thoracic Surgery  Volume 86, Issue 5, Pages (November 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Moderate aortic arch tortuosity and pseudo-coarctation, as shown by spiral computed tomographic scan. (AAo = ascending aorta; MPA = main pulmonary artery; TA = transverse aortic arch.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Pulmonary artery angiography showing a severe elongation and kinking of the main pulmonary arteries resulting in bending of their hilar segments (arrows). (B) Severe, discrete stenosis of the left pulmonary artery (black arrow), as imaged by spiral computed tomographic scan. (C) Multiple, long stenoses of the right pulmonary artery branches (white arrows), as imaged by selective intraoperative pulmonary angiography. (DA = descending aorta; LPA = left pulmonary artery; MPA = main pulmonary artery; RPA = right pulmonary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Line drawing of the surgical procedure. (A) The incision of the pulmonary trunk and the main pulmonary arteries is followed by removal of a segment of their inner circumference (dashed area). (B) The pulmonary arteries after this reductive reconstruction. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Pulmonary angiography after the hybrid transcatheter-surgical approach. (* = left pulmonary artery; ** = right pulmonary artery; MPA = main pulmonary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

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