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Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device  Pierre Galvagni Silveira,

Published byMaria de Fátima Penha Lemos Modified over 5 years ago

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Presentation on theme: "Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device  Pierre Galvagni Silveira,"— Presentation transcript:

1 Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device  Pierre Galvagni Silveira, PhD, Rafael Narciso Franklin, MD, Josué Rafael Ferreira Cunha, MD, Thais Torres Neves, MD, Gilberto Galego Nascimento, PhD, Cristiano Torres Bortoluzzi, MD  Journal of Vascular Surgery  Volume 57, Issue 4, Pages (April 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative computed tomographic (CT) findings. Three-dimensional CT scan shows the proximal-to-distal order of the aortic arch branches to be as follows: right common carotid artery (RCA), right subclavian artery (RSA), left common carotid artery (LCA), left subclavian artery (LSA), and Kommerell diverticulum. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Removed the third ring stent of the Valiant endograft (Medtronic) with posterior fenestration in this segment, an ultrathin polytetrafluoroethylene tube was sutured to the internal face of the device. B, A inch line is passed through the branch and exteriorized by a hole made in the endograft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Angiography demonstrates successful exclusion of the diverticulum and patency of the left subclavian artery with use of the endograft with branched device. B, Three-dimensional reconstruction 12 months after thoracic endovascular aneurysm repair with patency of the endograft and device used. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

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