case_images: PMC8091474_01
case_images: Aortic angiography demonstrates the location and dimensions of the aortic stenosis.
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case_images: There was a long lesion of the whole segment III of the thoracic aorta (Figure 1).
case_images: Percutaneous transluminal angioplasty was performed with Tyshask 8 (A) and 10 mm (B).
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case_images: The procedure of percutaneous transluminal angioplasty was performed with Tyshask 8 and 10 mm (Figure 2).
case_images: An inner 8Fr Amplatzer Delivery (short arrow) covered by a 10Fr Cook Outer Sheath (long arrow) was inserted into the descending aorta.
case_images: IMCRJ-14-265-g0003.jpg
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case_images: Hence, it was strengthened by an 8Fr Amplatzer Delivery inside, and the whole delivery system, including an inner 8Fr Amplatzer Delivery covered by a 10Fr Cook Outer Sheath, was successfully inserted into the descending aorta without any difficulties (Figure 3).
case_images: The first 12x59 mm cover stent at the distal of the descending thoracic aorta.
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case_images: Two 12x59 mm Balloon-Expandable Covered Stents (Begraft) were completely deployed to the distal and proximal parts of the lesion at 12 and 14 atm, respectively, then a Tyshask 14 mm was used to optimize stent expansion (Figures 4 and 5).
case_images: The second 12x59 mm cover stent at the proximal of the descending thoracic aorta.
case_images: IMCRJ-14-265-g0005.jpg
case_images: PMC8091474_01_IMCRJ-14-265-g0005.jpg
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case_images: Two 12x59 mm Balloon-Expandable Covered Stents (Begraft) were completely deployed to the distal and proximal parts of the lesion at 12 and 14 atm, respectively, then a Tyshask 14 mm was used to optimize stent expansion (Figures 4 and 5).
case_images: The ultimate result with the diameter of the narrowing segment returned to the normal range.
case_images: IMCRJ-14-265-g0006.jpg
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case_images: The diameter of the narrowing segment returned to the normal range (more than 90% of the normal descending aortic segment) (Figure 6).