A 73-year-old man underwent emergency endovascular abdominal aneurysm repair (EVAR) for a ruptured infected abdominal aortic aneurysm. Two years after EVAR, he was admitted with a spiking fever and left lower back pain. Computed tomography scan revealed not only recurrent graft infection with psoas abscess but also infection around the orifice of the superior mesenteric artery. Because conserva...

This video depicts a step-by-step description of a totally endovascular approach to treat a patient with thoracoabdominal aneurysm, using a branched stent-graft system. We compare the pre and post-operative computerized tomography and show 3D illustrations and real-life images of the technique.

The fixation system consisting of a titanium plate and three pairs of claws can fix the ribs externally. This may contribute to preserve the normal thoracic structure and could result in a significant reduction in the period of ventilator dependency.

For a 75 year-old man with extensive aortic aneurysm, who had undergone a previous infra-renal abdominal Y-graft, a staged replacement of remaining segments was performed. A hybrid procedure of open-laparotomy debranching of visceral branches and endovascular stentgraft insertion in the thoracoabdominal aorta was performed first, followed by subsequent direct replacement between the proximal as...

OBJECTIVE To demonstrate the viability of the use of extracorporeal circulation established between the left atrium and ascending aorta to induce deep hypothermia for correcting thoracic and thoracoabdominal aortic aneurysms. METHODS From January 1994 to July 2001, 38 patients (mean age, 54.6 +/- 12.7 years) were operated on as follows: 12 (31.6%) patients underwent repair of thoracoabdominal...

Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...

SUMMARY Spinal cord arteries and veins are difficult to visualize and distinguish by MR angiographic techniques because of their small sizes, similar spatial course, and close vascular anatomy. Contrast-enhanced MR angiography was demonstrated to dynamically resolve the Adamkiewicz artery from the anterior radiculomedullary vein in the thoracolumbar spinal cord. The location of the Adamkiewicz ...

t rue saccular aneurysm is exceptional in coarctation of aorta in children. a 6-year-old girl with headache and systemic arterial hypertension referred to our center for cardiovascular evaluation. physical examination revealed high blood pressure and weak lower extremity pulses. two-dimensional and doppler echocardiography and angiography demonstrated a saccular aneurysm of the descending aorta...

We report the case of a patient with a chronic DeBakey type IIIb aneurysm who underwent thoracic endovascular aortic repair to seal the primary entry tear and stent-graft insertion to cover the re-entry tear at the renal artery. The procedure was performed in order to achieve complete thrombosis in the entire thoracoabdominal false lumen, leading to favorable aortic remodeling. Simultaneously, ...