PMC5910503_01
Preoperative CT. The proximal aortic arch was the primary entry site of the false lumen, which extended to the celiac trunk and the origin of the superior mesenteric arteries.
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The abdominal aortic diameter was 30 mm (Fig. 1).
Schematic illustration of the technique used in this case for total arch replacement with LET and aortic fenestration.
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The operative procedure is summarized in Table 1 and Fig. 2 shows the schematic illustration.
Postoperative 3D CT. The false lumen in the thoracic aorta was thromboexcluded, with abdominal visceral perfusion from the false lumen preserved through the fenestrated site.
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Follow-up CT findings after 3 days showed total thromboexclusion of the false lumen surrounding the thoracic aorta and patency of the visceral arteries perfused from the false lumen around the abdominal aorta (Fig. 3).