Endovascular repair of an aortic arch pseudoaneurysm by an atrial septal defect occluder combined with a chimney stent Guangqi Chang, MD, Wei Chen, MD,

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Endovascular repair of an aortic arch pseudoaneurysm by an atrial septal defect occluder combined with a chimney stent Guangqi Chang, MD, Wei Chen, MD, Henghui Yin, MD, PhD, Zilun Li, MD, PhD, Xiaoxi Li, MD, PhD, Shenming Wang, MD, PhD Journal of Vascular Surgery Volume 57, Issue 6, Pages 1657-1660 (June 2013) DOI: 10.1016/j.jvs.2012.10.095 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography angiography (CTA) and aortogram show an aortic arch pseudoaneurysm (neck, 18 mm; size, 43 × 40 mm) located right distal and posterior to the orifice of the left common carotid artery (LCCA). Journal of Vascular Surgery 2013 57, 1657-1660DOI: (10.1016/j.jvs.2012.10.095) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative aortogram. A, An aortogram after deployment of the occluder shows complete closure of the pseudoaneurysm but delayed blood flow (white arrow) in the left common carotid artery (LCCA), suggesting its obstruction by the occluder. B, Completion angiography after displacement of a chimney stent shows free flow in the LCCA, satisfactory positioning of the occluder with minor leak (white arrow) into the pseudoaneurysm cavity. Journal of Vascular Surgery 2013 57, 1657-1660DOI: (10.1016/j.jvs.2012.10.095) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Follow-up by computed tomography angiography (CTA). CTA at 1 week (A and B) shows good position of the occluder with minor leak (white arrows). CTA at 1 year (C-E) shows complete occlusion of the pseudoaneurysm and patent chimney stent in the left common carotid artery (LCCA). Journal of Vascular Surgery 2013 57, 1657-1660DOI: (10.1016/j.jvs.2012.10.095) Copyright © 2013 Society for Vascular Surgery Terms and Conditions