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J Thorac Cardiovasc Surg 2006;132:157-158
© 2006 The American Association for Thoracic Surgery
Brief Communication |
Department of Thoracic and Cardiovascular Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, Ill
Received for publication February 15, 2006; accepted for publication February 22, 2006. * Address for reprints: Siyamek Neragi-Miandoab, MD, Loyola University Chicago, Stritch School of Medicine, Department of Thoracic and Cardiovascular Surgery, 2160 South First Ave, Building 110, Room 6243, Maywood, IL 60153. (Email: Sneragi@yahoo.com).
| The first 20% of the full text of this article appears below. |
We describe the case of a 63-year-old woman with aneurysm of the descending aorta who initially underwent intravascular stent grafting of the descending thoracic aorta followed by coil embolization, as well as additional cuff placement at the very proximal portion of the stent, to treat a pseudoaneurysm at the proximal stent margin. The stent graft was covering the subclavian artery, and therefore her left radial artery pulse was weakened, although it remained patent because of retrograde back flow. Figure 1
shows the proximal end of the stent covering the left subclavian artery and partially covering the left carotid artery. The patient returned to the hospital with severe left-sided chest and back pain. Radiographic studies demonstrated an aneurysm surrounding the distal limb
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