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Ann Thorac Surg 2008;85:1115-1117. doi:10.1016/j.athoracsur.2007.04.120
© 2008 The Society of Thoracic Surgeons
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Jacques Kpodonu
James P. Williams
Edward B. Diethrich
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A Novel Approach for the Endovascular Repair of the Small Thoracic Aorta: Customizing Off-the-Shelf Endoluminal Grafts to Treat a Post-Coarctation Pseudoaneurysm

Jacques Kpodonu, MD*, Grayson H. Wheatley, III, MD, James P. Williams, BS, Julio A. Rodriguez-Lopez, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD

Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Arizona Heart Institute, Phoenix, Arizona

Accepted for publication April 24, 2007.

* Address correspondence to Dr Kpodonu, Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Institute, 2632 N 20th St, Phoenix, AZ 85006 (Email: jkpodonu{at}yahoo.com).

Surgical repair of post-coarctation pseudoaneurysm is associated with high morbidity and mortality. Endovascular stent grafting is a minimally invasive approach to manage this condition. The small thoracic aorta provides a dilemma for endovascular stent grafting using available commercially available thoracic endografts. We describe a hybrid approach including a novel technique to customize various components of the abdominal endoluminal grafts to repair a post-coarctation pseudoaneurysm. The patient is doing well at 1-year follow-up with no endoleaks.




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M. Salati, A. Moneta, and F. Donatelli
Late thoracic pseudo-aneurysm causing collapse of vascular prostheses
Interactive CardioVascular and Thoracic Surgery, December 1, 2008; 7(6): 1124 - 1126.
[Abstract] [Full Text] [PDF]


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