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Stepwise Total Aortic Repairs With Fenestrated Endografts in a Patient With Loeys- Dietz Syndrome  Kenichi Hashizume, MD, PhD, Hideyuki Shimizu, MD, PhD,

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Presentation on theme: "Stepwise Total Aortic Repairs With Fenestrated Endografts in a Patient With Loeys- Dietz Syndrome  Kenichi Hashizume, MD, PhD, Hideyuki Shimizu, MD, PhD,"— Presentation transcript:

1 Stepwise Total Aortic Repairs With Fenestrated Endografts in a Patient With Loeys- Dietz Syndrome 
Kenichi Hashizume, MD, PhD, Hideyuki Shimizu, MD, PhD, Masanori Honda, MD, PhD, Shinya Inoue, MD, PhD, Hidenobu Takaki, MD, Kanako Hayashi, MD, Hiroaki Kaneyama, MD  The Annals of Thoracic Surgery  Volume 104, Issue 1, Pages e39-e42 (July 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Enlarged aneurysm of (A) aortic sinus and (B) thoracoabdominal aortic aneurysm are observed on computed tomography (CT). (C) Remaining dissecting aortic aneurysm seen on CT enlarged to 6 cm after Bentall procedure. The Annals of Thoracic Surgery  , e39-e42DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Amplatz GooseNeck Snare kit (ev3, Inc, Plymouth, MN) is used for handmade fenestrated Cook TX2 marker. (B) Major endoleak and blood flow problems at abdominal branches are not seen after operation. (C) maximum intensity projection image shows fenestration marker. The Annals of Thoracic Surgery  , e39-e42DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Two years after operation, false lumen has disappeared at same level of (A and B) thoracic and (C and D) abdominal aorta compared with preoperatively. Remodeling effect of the aorta in the thoracic (white arrow) and abdominal (black arrow) area before and after surgery. Good remodeling of the thoracic and abdominal aorta was seen. The Annals of Thoracic Surgery  , e39-e42DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions


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