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Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation  Ivan Matia, MD, PhD, Jan Pirk, MD, PhD, Květoslav Lipar,

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Presentation on theme: "Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation  Ivan Matia, MD, PhD, Jan Pirk, MD, PhD, Květoslav Lipar,"— Presentation transcript:

1 Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation 
Ivan Matia, MD, PhD, Jan Pirk, MD, PhD, Květoslav Lipar, MD, Miloš Adamec, MD, PhD  Journal of Vascular Surgery  Volume 50, Issue 1, Pages (July 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, A computed tomography scan before the endovascular repair shows a chronic Stanford type A aortic dissection. The ascending aorta had a maximum diameter of 88 mm. Both coronary arteries and all aortocoronary venous bypasses were supplied from original aortic lumen. The diameter of aortic arch was 40 mm. All thoracic aortic branches were supplied from the original lumen. The diameter of descending aorta was 38 mm, with partial thrombosis of false lumen. F, False lumen; O, original lumen. B, The infrarenal abdominal aortic aneurysm was a maximum size 55 mm, with no signs of dissection. Common iliac arteries were dilated at 17 and 15 mm, respectively. L, Lumen; T, thrombus. (The computed tomography images are published with the permission of Department of Radiology of Institute for Clinical and Experimental Medicine, Prague, Czech Republic). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Computed tomography scans show the aorta 39 months after cardiothoracic surgery and 18 months after simultaneous abdominal aortic aneurysm repair and renal transplantation, respectively. A, The ascending and descending aorta show no signs of dilatation. The arrow designates the right coronary artery. F, false lumen; O, original lumen. B, The patent aortic portion of the aortobiiliac arterial allograft shows no signs of thrombosis or dilatation. The large bulge of the abdominal wall on the side of renal allograft is also seen. C, The patent lumen of both iliac portions of the arterial allograft shows no signs of dilatation. The black arrow designates the patient's own external iliac artery. The white arrow designates the patent anastomosis between the renal artery of the renal graft and the left branch of the arterial allograft. (The computed tomography images are published by permission of Department of Radiology of Institute for Clinical and Experimental Medicine in Prague, Czech Republic). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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