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Images in cardio-thoracic surgery

Intra-operative dynaCT in visceral-hybrid repair of an extensive thoracoabdominal aortic aneurysm

St. George’s Regional Vascular Institute, 4th Floor, St. James Wing, St. Georges Hospital NHS Trust, Blackshaw Road, London SW17 0QT, United Kingdom

Received 12 June 2008; received in revised form 26 August 2008; accepted 8 September 2008.

^_* Corresponding author. Tel.: +44 7748502275; fax: +44 208 725 3495. (Email: luklabiasi@hotmail.com).

Key Words: Thoracoabdominal aneurysm • Endovascular repair • Hybrid procedure • DynaCT • Complications • Angiography

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A 79-year-old presented with a thoracic rupture of a type II thoracoabdominal aneurysm. A hybrid-procedure (four-visceral-vessel debranching and simultaneous endografting) was performed (Fig. 1 ).

View larger version (113K):   Fig. 1. Intra-operative Angiographic CT (DynaCT, Axiom-Artis, Siemens, Germany): a total of 48 mL of radiographic contrast (Visipaque 320 mg I/mL) at 8 mL/s (96 mL of 50% diluted medium) is injected via a transfemoral 4F pigtail catheter. Angiographic CT parameters, with respiration suspended, are 0.8° . . . [Full Text of this Article]