Page 5 - Virtual Vascular Vol 9

There is however and advanced End-

ovascular option for repairing arch

aneurysms.

A custom-made stent graft with
1 three inner side branches can be

manufactured. Each of these dia-
2 mond shaped recesses leads to an

inner side branch

The Endograft is introduced via

3 the groin on a stiff guidewire going
through the aortic valve. A balloon

placed in the right atrium is used to

occlude the IVC blood return tempo-

rarily to drop the aortic blood pres-
sure.

The stent graft is released into the

ascending aorta. Blood flow is main-
tained via these recesses and the

branches are bridged with addition-

al stent components introduced via
79-year old man with multiple co-morbidities presented with a large saccular
A aneurysm in the aortic arch. He was deemed unfit for open repair which would cutdowns in both neck and for the

require cardiopulmonary bypass. left subclavian branch via the femoral
artery.

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