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- W2080791334 abstract "A 57-year-old man underwent the repair of a descending thoracic and infrarenal aortic aneurysm 4 years previously. He presented now with a 6.5-cm aneurysm of the visceral aorta plus bilateral 5-cm common iliac aneurysms. A combined open surgical and endovascular approach was used to maintain hypogastric arterial supply to the colon, buttocks, and spinal cord. An endovascular approach to the hypogastric arteries was chosen to avoid the need for extensive pelvic exposure in conjunction with the thoracoabdominal reconstruction. A 4-baffled conduit was constructed preoperatively by sewing four 10-mm-diameter Hemashield grafts (Boston Scientific, Natick, Mass) in a “cloverleaf fashion” within a 24-mm-diameter Hemashield tube graft. Additionally, two 24-mm-diameter Hemashield grafts were attached to each end of the baffled conduit to provide proximal and distal sewing cuffs. Lastly, a 10-mm Hemashield side-arm conduit was sewn to the proximal graft to provide endovascular access to the baffled conduit (A). A left thoraco-retroperitoneal incision was made. The lower descending thoracic and visceral aortic segments were repaired with implantation of the visceral and renal vessels onto the graft. Next, the homemade baffled conduit device was tailored to the appropriate length, trimming the attached 24-mm grafts to a relatively short length. The device was anastomosed proximally to the thoracoabdominal graft (B) and distally to the terminal aorta (C, D). Next, each of the four compartments of the baffled conduit was selectively accessed from the side-arm conduit, placing sequential Wallgrafts (Boston Scientific) to bridge the gaps between the conduit and the four iliac outflow vessels.The patient awoke without neurologic deficits and made an uneventful recovery. Postoperative arteriography demonstrated patency of the branched device without endoleak (Cover). Follow-up computed tomographic studies at 1, 13, and 23 months confirmed patency of the graft limbs, without evidence of endoleak." @default.
- W2080791334 created "2016-06-24" @default.
- W2080791334 creator A5023858684 @default.
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- W2080791334 date "2003-02-01" @default.
- W2080791334 modified "2023-09-28" @default.
- W2080791334 title "Branched device to preserve hypogastric arterial flow with thoracoabdominal aneurysm repair" @default.
- W2080791334 cites W2034160146 @default.
- W2080791334 doi "https://doi.org/10.1067/mva.2003.167" @default.
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- W2080791334 hasPublicationYear "2003" @default.
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