case_images: PMC5102893_01
case_images: (A) Chest CT-scan revealing a thoracic aorta aneurysm with a diameter of 6.4 cm. (B) CT of the chest, abdomen, and pelvis revealing a thoracic aorta aneurysm extending 4.4 cm from the left subclavian artery and 10 cm from the abdominal aorta. Moreover, significant calcification of the abdominal aorta and the iliac arteries and stenosis of the right main renal artery whose origin was 2 cm above aortic bifurcation were also found.
case_images: fsurg-03-00062-g001.jpg
case_images: PMC5102893_01_fsurg-03-00062-g001.jpg
case_images: F1
case_images: The length of the aneurysm was 8.1 cm, with proximal neck 3.3 cm and distal neck 2.8 cm (Figure 1A). Moreover, significant calcification of the abdominal aorta and the iliac arteries and stenosis of the right main renal artery whose origin was 2 cm above aortic bifurcation was also noted (Figure 1B).
case_images: (A) The axillo-femoral bypass to ensure renal blood flow and the aortic bifurcated graft. (B) The aortic bifurcated graft as an access for TEVAR. (C) With the use of contrast material, the right position of the endograft was confirmed.
case_images: fsurg-03-00062-g002.jpg
case_images: PMC5102893_01_fsurg-03-00062-g002.jpg
case_images: F2
case_images: The protection of the functioning right kidney was achieved through an axillo-femoral bypass (Figure 2A). Afterward, an end-to-side anastomosis between the aorta and the bifurcated graft was performed (Figure 2A). Through the left branch of the graft, the sheath and the stent graft were introduced in the thoracic aorta (Figure 2B). Gore & Associates) were confirmed (Figure 2C).