Page 51 - Virtual Vascular Vol 5
P. 51

OPEN REPAIR of a DISSECTING

                                                                            THORACOABDOMINAL ANEURYSM


                                                                            The proximal end of the prosthetic
                                                                            graft was sutured to the lower end
                                                                            of the TEVAR.  The four branches are
                                                                            for temporary perfusion and ligat-
                                                                            ed.  The thoraicic patch goes to the
                                                                            intercostal arteries.  The blue vessel
                                                                            loops held the reimplanted visceral

                                                                            branchs (in this case, CA, SMA and
                                                                            RRA on the right, and LRA on the
                                                                            left).  The AAA was replaced with
                                                                            a bifurcated grafat to the common
                                                                            iliac artery bifurcation.  Cardiopul-
                                                                            monary bypass was not necessary.

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