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Hélio A. Fabri
Paulo C. Santos
Cláudio R. Cunha
Enio Buffolo
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Ann Thorac Surg 2004;78:319-321
© 2004 The Society of Thoracic Surgeons


Case report

Combined repair of extensive aneurysm of the ascending aorta, arch, and descending aorta

Hélio A. Fabri, MDa*, Paulo C. Santos, MDa, Cláudio R. Cunha, MDa, Leonardo Severino, MDa, Vilmar J. Pereira, MDa, Roberto V. Botelho, MDa, José Honório P. Fonseca, MD, PhDa, Enio Buffolo, MD, PhDa

a Department of Cardiovascular Surgery, Heart Institute of Triângulo, Uberlândia, Brazil, and UNIFESP, Paulista School of Medicine, São Paulo, Brazil

Accepted for publication June 13, 2003.

* Address reprint requests to Dr Fabri, Department of Cardiovascular Surgery, Instituto do Coracao do Triângulo, Av Getulio Vargas, Room 312, Number 275, Uberlândia MG 38401-000, Brazil
e-mail: heliofabri{at}netsite.com.br

A 50-year-old man with an extensive aneurysm of the scending aorta with extension through the transverse arch and of the descending thoracic aorta had this segment repaired by insertion of multiple stent grafts and, 2 days later, of the arch and ascending segment by an open-surgical procedure. The stents covered the segment from the takeoff of the left subclavian artery to the thoracoabdominal transition. The procedure consisted of insertion of a Dacron tube graft that covered the segment from the proximal edge of the first stent to the aortic root. The patient has had an event-free recovery.







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