Page 2 - Virtual Vascular Vol 4

Thoracoabdominal

PREFACE
Preface Aneurysm

While we are seeing a large number of patients with very educational and
challenging vascular conditions each month, we will try to keep the volume to

a manageable size of under 100 pages, less than 100Mb, with 25 short videos.

With Volume 4, we are introducing a trial of short “Quiz” questions to create a
more interactive experience with the readers.

This issue gave more comprehensive coverage of a few more advanced

management of certain arterial conditions, such as complicated type B
dissections, intravascular ultrasound, and case selection and secondary
intervention for EVAR. Also included are treatment of thoracoabdominal

aneurysms, acute ischemia, and varicose veins.

October 2020 also marks the premier Vascular Surgery meeting in Asia, the 21 st

Asian Society for Vascular Surgery Congress in Seoul. Due to Covid-19, this is
the first time that the meeting is held online. The Department has a strong link
to this society and I hope some of you can join the 2021 meeting in Sapporo

physically.

Stephen Cheng

Head, Department of Surgery

55-year old man with Marfan’s Syndrome developed a chronic dissect-

A ing thoracoabdominal aneurysm (Type IV) involving the low descend-

ing thoracic aorta and all the visceral vessels. He had a history of previous
ascending aortic and valve repair for type A dissection, putting further risk

to paraplegia. Endovascular repair was not considered due to his young

age and the presence of connective tissue disease.

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