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James H. Black, MD  Journal of Vascular Surgery 

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Presentation on theme: "James H. Black, MD  Journal of Vascular Surgery "— Presentation transcript:

1 Technique for repair of suprarenal and thoracoabdominal aortic aneurysms 
James H. Black, MD  Journal of Vascular Surgery  Volume 50, Issue 4, Pages (October 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Incision sites for extensive aortic aneurysms.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Lines of division for differing extents of aortic aneurysm.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Sequential stages of Type II TAAA. In Stage 1, the proximal anastamosis is performed with circumferential felt reinforcement while distal perfusion maintains intercostal and renovisceral flow. In Stage 2, renovisceral flow is maintained while patent intercostals are controlled with balloon occlusion catheters for creation of aortic inclusion islands. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Sequential stages of Type II TAAA. In Stage 3, pelvic flow is maintained with distal perfusion while antegrade aortic flow perfuses the intercostal patch during renovisceral reconstruction. Lastly, the aortic bifurcation is reconstructed. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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