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Late thrombosis of a thoracic aorta stent graft: Therapeutic management  Beatriz Alvarez, MD, PhD, Ivan Constenla, MD, Jordi Maeso, MD, Manel Matas, MD 

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Presentation on theme: "Late thrombosis of a thoracic aorta stent graft: Therapeutic management  Beatriz Alvarez, MD, PhD, Ivan Constenla, MD, Jordi Maeso, MD, Manel Matas, MD "— Presentation transcript:

1 Late thrombosis of a thoracic aorta stent graft: Therapeutic management 
Beatriz Alvarez, MD, PhD, Ivan Constenla, MD, Jordi Maeso, MD, Manel Matas, MD  Journal of Vascular Surgery  Volume 49, Issue 3, Pages (March 2009) DOI: /j.jvs Copyright © Terms and Conditions

2 Fig 1 Six-month follow-up of endovascular repair. A, Computed tomography angiography shows proper implantation of the device, with no signs of endoleak or collapse. B, X-ray of the stent graft shows no structural defects. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 Fig 2 Computed tomography angiography performed for suspected endograft-related complication at 11 months after the procedure. A, Thrombosis of the segment distal to the endograft. B, Axial view shows nearly complete stent graft occlusion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 Fig 3 Intraoperative image after extra-anatomic bypass. A, The Dacron bypass originates at the ascending aorta, runs over the pericardium, and penetrates the abdominal cavity through the right hemidiaphragm. B, Detail of the distal area of the bypass after crossing the diaphragm (upper part of the image) toward the supraceliac aorta (distal anastomosis). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

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