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John S. Ikonomidis, MD, PhD, FRCS(C), Abe DeAnda, MD, D

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1 Resection of ascending aortic aneurysm without use of an interposition aortic graft 
John S. Ikonomidis, MD, PhD, FRCS(C), Abe DeAnda, MD, D.Craig Miller, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 122, Issue 2, Pages (August 2001) DOI: /mtc Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 CT scan showing a large ascending aortic aneurysm at the level of the right main pulmonary artery. Note the marked compression of the superior vena cava. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Intraoperative photograph showing the completed primary end-to-end aortic anastomosis. Small arrow shows the ring of Dacron graft used to remodel the sinotubular junction. Large arrow shows the large right coronary artery, which arose somewhat higher than normal. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Postoperative CT scan showing the ascending aortic aneurysm repair at the same level as Figure 1. The superior vena cava no longer is extrinsically compressed. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Curved planar reformat 3-dimensional reconstruction of postoperative CT scan in the right posterior oblique projection showing the reconstructed ascending aorta and sinuses of Valsalva. Arrow indicates the remodeled sinotubular junction. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

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