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Hybrid Arch Repair Including Supra-Aortic Debranching on the Descending Aorta  Hideyuki Shimizu, MD, PhD, Takashi Hachiya, MD, Kentaro Yamabe, MD, Ryohei.

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Presentation on theme: "Hybrid Arch Repair Including Supra-Aortic Debranching on the Descending Aorta  Hideyuki Shimizu, MD, PhD, Takashi Hachiya, MD, Kentaro Yamabe, MD, Ryohei."— Presentation transcript:

1 Hybrid Arch Repair Including Supra-Aortic Debranching on the Descending Aorta 
Hideyuki Shimizu, MD, PhD, Takashi Hachiya, MD, Kentaro Yamabe, MD, Ryohei Yozu, MD, PhD  The Annals of Thoracic Surgery  Volume 92, Issue 6, Pages (December 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative computed tomography images. (A) Chronic aortic dissection in the aortic arch. Pectoral muscular flaps appear in the midst of the non-coapted sternum. (B, C) A large irregular protrusion, indicative of a pseudoaneurysm with partial thrombosis, appears at the distal anastomosis of a prosthetic graft in the ascending aorta. There is another prosthesis in the descending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Computed tomography image obtained after hybrid repair. The supra-arch vessels are connected by a branched prosthetic graft. The left subclavian artery is anastomosed to another graft, which extends from the descending aorta and provides the only inflow for all supra-arch branches. The origin of the brachiocephalic artery was occluded by coils. An endoprosthesis bridges 2 previously implanted prosthetic grafts, from just above the sinotubular junction proximally to the origin of the brachiocephalic bypass. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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