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Ann Thorac Surg 2007;84:e1-e3
© 2007 The Society of Thoracic Surgeons

Case Reports

Endovascular Thoracic Aortic Aneurysm Repair With Concomitant Myocardial and Carotid Revascularization

Keshava Rajagopal, MD, PhDc, Brian Lima, MDc, J. Kevin Harrison, MDb, Madhav Swaminathan, MBBSa, Richard L. McCann, MDc, G. Chad Hughes, MDc,*

a Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina
b Department of Medicine, Duke University Medical Center, Durham, North Carolina
c Department of Surgery, Duke University Medical Center, Durham, North Carolina

Accepted for publication March 13, 2007.

* Address correspondence to Dr Hughes, Box 3051, Duke University Medical Center, Durham, NC 27710 (Email: gchad.hughes{at}duke.edu).

A 73-year-old woman presented with a large saccular aneurysm involving the distal aortic arch. Preoperative aortography and cardiac catheterization revealed left main coronary artery and left common carotid artery stenoses. Concomitant coronary artery bypass grafting to the left anterior descending and first diagonal arteries, ascending aorta-to-left common carotid artery bypass grafting, and endovascular thoracic aortic aneurysm repair with antegrade stent-graft deployment and intentional left subclavian artery coverage were performed.




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G. C. Hughes, C. F. Sulzer, R. L. McCann, and M. Swaminathan
Endovascular Approaches to Complex Thoracic Aortic Disease
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2008; 12(4): 298 - 319.
[Abstract] [PDF]


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