Evaluation of the Optimal Visceral Branch Configuration in Open Thoracoabdominal Aortic Repair by Computed Tomography

• DOI: 10.5761/atcs.oa.13-00271
• Publication Date: 2014-02-27T23:10:52Z
• Authors: Keiji Kamohara; Kojiro Furukawa; Manabu Itoh; Hiroyuki Morokuma; Hideya Tanaka; Nagi Hayashi; Shigeki Morita
• Keywords: Aortic repair; Computed Tomography Angiography; Multidetector computed tomography

Background: In thoracoabdominal aneurysm (TAAA) repair, our technical modification of visceral reconstruction using longer cut pre-sewn side branches has provided good surgical outcomes. Here, we assessed the long-term durability and patency revascularized computed tomography (CT) to confirm validity approach.Methods: Early late CT evaluations were performed in 11 TAAA patients (males: 5; mean age: 60.6 years) Coselli graft evaluate position main diverging pattern branches. Seven sutured an extra-anatomical fashion branches.Results: Anatomical (n = 4) Extra-anatomical 7) groups, early was not significantly different. Although right renal artery (RA) 100% both one left RA 60% Extra-anatomical, while Anatomical. Furthermore, posterior leftward spine with branch at acute angle.Conclusions: When a branched designed for is used, should be similar normal patient anatomy minimize possibility kinking patency.