PMC5724639_01
(a) Axial CT scan showing saccular aneurysm posterior of the aortic arch and (b) volume rendering of the same case.
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We performed a computerized tomography (CT) scan finding an isolated saccular aneurysm with penetrating atherosclerotic ulcer (PAU) at the aortic arch (Figure 1).
(a) Aortic arch repair was done, first by excision of the saccular aneurysm, continued using Vascutek graft to repair the posterior portion of the arch; (b) anastomosis of the repaired arch toward the proximal aorta; and (c) complete picture of the aortic repair with CABG.
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We excised the saccular region of the arch and did an aortic repair (Figure 2) using a Vascutek graft, followed by anastomosis of the repaired arch toward the proximal aorta.