PMC3516978_01
3D reconstruction of the thoracoabdominal aneurysm (angio-CT)
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Angio-CT performed revealed class 3 thoracoabdominal aortic aneurysm according to the Crawford classification (Figure 1).
The maximum transverse size the aneurysm reached at the L1 level (angio-CT)
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The maximum transverse size of the aneurysm was 9.6 cm x 8.7 cm (Figure 2).
Plan of the hybrid procedure
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It was decided to use the hybrid technique (Figure 3).
Intraoperative image of the first stage of the surgery. Implanted silver vascular prosthesis used for revascularization of the visceral branches visible in the operative field
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It was also connected to the superior mesenteric artery in an end-to-side manner (Figure 4).
Endovascular implantation of the aortic stent-graft
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The first part was anchored in the proximal, healthy portion of the aorta, the second was connected with the first one and finished in the aorto-aortic prosthesis, just above the silver prosthesis implanted for visceral vessels of the aorta (Figure 5).
Vascular reconstruction performed 3 months after the surgery (angio-NMR)
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Both of them showed full patency of anastomoses with the visceral vessels (Figure 6).