Background: Aneurysm of the sinuses of Valsalva (ASV) is a rare but potentially lethal condition. Young patients with aortic root aneurysm and normal aortic valve are preferentially treated with a valve-sparing root replacement (VSRR). However, this option may not be feasible in the presence of an ASV. We herein describe a unique repair technique that allows ASV closure and subsequent VSRR.
{"title":"Successful aortic valve-sparing procedure for an aortic root aneurysm associated with a congenital defect of the right sinus of Valsalva—a case report","authors":"Pablo Filippa, Vincent Chauvette, Philippe Demers","doi":"10.21037/jovs-23-11","DOIUrl":"https://doi.org/10.21037/jovs-23-11","url":null,"abstract":"Background: Aneurysm of the sinuses of Valsalva (ASV) is a rare but potentially lethal condition. Young patients with aortic root aneurysm and normal aortic valve are preferentially treated with a valve-sparing root replacement (VSRR). However, this option may not be feasible in the presence of an ASV. We herein describe a unique repair technique that allows ASV closure and subsequent VSRR.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Future adoption of segmentectomy for lung cancer will likely increase with two recent randomized control trials demonstrating its oncological efficacy compared to lobectomy. It has also been used to great effect in patients with bilateral primary lung cancer to preserve lung parenchyma as these patients require more extensive lung resection compared to patients with a single primary lung cancer. However, segmentectomy, particularly complex ones which involve resection of more than one inter-segmental plane remains a more difficult operation than lobectomy. Here we report a case of synchronous bilateral primary lung cancer successfully treated with thoracoscopic left S8 segmentectomy. This case is unique in terms of utilizing a novel cloud-based platform that allows the 3D reconstruction to be easily accessible anywhere with an Internet-connected device.
{"title":"Video-assisted thoracoscopic left S8 segmentectomy guided by pre-operative 3D reconstruction in a patient with synchronous bilateral primary lung cancer: a case report","authors":"Boon-Hean Ong","doi":"10.21037/jovs-23-19","DOIUrl":"https://doi.org/10.21037/jovs-23-19","url":null,"abstract":"Background: Future adoption of segmentectomy for lung cancer will likely increase with two recent randomized control trials demonstrating its oncological efficacy compared to lobectomy. It has also been used to great effect in patients with bilateral primary lung cancer to preserve lung parenchyma as these patients require more extensive lung resection compared to patients with a single primary lung cancer. However, segmentectomy, particularly complex ones which involve resection of more than one inter-segmental plane remains a more difficult operation than lobectomy. Here we report a case of synchronous bilateral primary lung cancer successfully treated with thoracoscopic left S8 segmentectomy. This case is unique in terms of utilizing a novel cloud-based platform that allows the 3D reconstruction to be easily accessible anywhere with an Internet-connected device.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Massey, Kenneth Palmer, Omar Al-Rawi, Tim Ridgway, Paul Modi
: The loop technique, devised by Mohr (Leipzig, Germany) almost 25 years ago, eliminated the risk of knot slippage when tying Gore-Tex neochords, and its use has become widespread in video-assisted ‘mini mitral’ valve repair, especially in Europe. It facilitates both simple and complex mitral valve reconstruction of all aetiologies with favourable valve haemodynamics (lower transmitral gradient and larger orifice area compared to leaflet resection), a low rate of recurrent mitral regurgitation and very durable long-term results. However, there is a paucity of data in the surgical literature about the use of Gore-Tex loops in robotic mitral valve repair, including modified techniques to measure the length of the loops in the totally endoscopic environment. It is also a common misconception that once the loop length is chosen, it cannot be altered whereas in reality fine tuning of the ‘effective loop length’ with millimetre levels of accuracy allows perfect symmetry of the valve closure line to be achieved. We report our techniques for using Gore-Tex loops during robotic mitral valve surgery with particular emphasis on length measurement and adjustment. The greater use of the loop technique in robotic mitral valve repair will hopefully allow patients with increasingly complex valves to benefit from totally endoscopic surgery.
{"title":"Robotically-assisted mitral valve repair—chordal replacement with Gore-Tex loops","authors":"John Massey, Kenneth Palmer, Omar Al-Rawi, Tim Ridgway, Paul Modi","doi":"10.21037/jovs-23-20","DOIUrl":"https://doi.org/10.21037/jovs-23-20","url":null,"abstract":": The loop technique, devised by Mohr (Leipzig, Germany) almost 25 years ago, eliminated the risk of knot slippage when tying Gore-Tex neochords, and its use has become widespread in video-assisted ‘mini mitral’ valve repair, especially in Europe. It facilitates both simple and complex mitral valve reconstruction of all aetiologies with favourable valve haemodynamics (lower transmitral gradient and larger orifice area compared to leaflet resection), a low rate of recurrent mitral regurgitation and very durable long-term results. However, there is a paucity of data in the surgical literature about the use of Gore-Tex loops in robotic mitral valve repair, including modified techniques to measure the length of the loops in the totally endoscopic environment. It is also a common misconception that once the loop length is chosen, it cannot be altered whereas in reality fine tuning of the ‘effective loop length’ with millimetre levels of accuracy allows perfect symmetry of the valve closure line to be achieved. We report our techniques for using Gore-Tex loops during robotic mitral valve surgery with particular emphasis on length measurement and adjustment. The greater use of the loop technique in robotic mitral valve repair will hopefully allow patients with increasingly complex valves to benefit from totally endoscopic surgery.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christophe Dubois, Lennert Minten, Marie Lamberigts, Pierluigi Lesizza, Steven Jacobs, Tom Adriaenssens, Peter Verbrugghe, Bart Meuris
: Rapid deployment aortic valve prostheses or “sutureless valves” (SV) present a favorable hemodynamic and clinical safety profile but remain sensitive to structural valve degeneration (SVD) leading to valve dysfunction. In patients with SVD, valve-in-valve transcatheter aortic valve replacement (ViV TAVR) has become the preferred approach because of its high procedural success rate and the inherent risk of redo-surgery in an often-elderly population. However, careful consideration of anatomical characteristics and features of the surgical prosthesis is needed to assess feasibility of the ViV procedure, including meticulous attention to avoid coronary obstruction, device malpositioning, and high residual transprosthetic gradients. We systematically describe technical considerations for the transcatheter treatment of failing PercevalTM SV. By design, PercevalTM has the potential to serve as an ideal docking station for a transcatheter ViV procedure, offering a clearly visible radiopaque frame, circumferential expansion capabilities, and a low risk of coronary obstruction and sinus sequestration. We describe procedural tips and tricks and provide our own case experience. In a series of 784 PercevalTM implants, incidence rate of severe SVD was 0.54% per patient year (15 patients), of which only 9 were scheduled for and underwent successful ViV TAVR. Treatment resulted in all patients in clinical improvement and significant reduction of transprosthetic gradients and no residual aortic valve regurgitation.
{"title":"Valve-in-valve transcatheter aortic valve replacement for the degenerated rapid deployment PercevalTM prosthesis: technical considerations","authors":"Christophe Dubois, Lennert Minten, Marie Lamberigts, Pierluigi Lesizza, Steven Jacobs, Tom Adriaenssens, Peter Verbrugghe, Bart Meuris","doi":"10.21037/jovs-23-28","DOIUrl":"https://doi.org/10.21037/jovs-23-28","url":null,"abstract":": Rapid deployment aortic valve prostheses or “sutureless valves” (SV) present a favorable hemodynamic and clinical safety profile but remain sensitive to structural valve degeneration (SVD) leading to valve dysfunction. In patients with SVD, valve-in-valve transcatheter aortic valve replacement (ViV TAVR) has become the preferred approach because of its high procedural success rate and the inherent risk of redo-surgery in an often-elderly population. However, careful consideration of anatomical characteristics and features of the surgical prosthesis is needed to assess feasibility of the ViV procedure, including meticulous attention to avoid coronary obstruction, device malpositioning, and high residual transprosthetic gradients. We systematically describe technical considerations for the transcatheter treatment of failing PercevalTM SV. By design, PercevalTM has the potential to serve as an ideal docking station for a transcatheter ViV procedure, offering a clearly visible radiopaque frame, circumferential expansion capabilities, and a low risk of coronary obstruction and sinus sequestration. We describe procedural tips and tricks and provide our own case experience. In a series of 784 PercevalTM implants, incidence rate of severe SVD was 0.54% per patient year (15 patients), of which only 9 were scheduled for and underwent successful ViV TAVR. Treatment resulted in all patients in clinical improvement and significant reduction of transprosthetic gradients and no residual aortic valve regurgitation.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marlène Schnider, Teodor Svantesson, Luís Filipe Azenha, Peter Kestenholz, Fabrizio Minervini
Background: Thymoma is a rare malignant tumour in adults which originates from thymic epithelial cells. Micronodular thymoma with lymphoid stroma is a rare subtype that accounts for about 1% of all thymoma cases. Due to the extremely limited number of reported cases, the clinical guidelines and therapeutic regimens have not yet been established.
{"title":"Resection of a micronodular thymoma with lymphoid stroma achieved by robot-assisted thoracic surgery (RATS): a case report","authors":"Marlène Schnider, Teodor Svantesson, Luís Filipe Azenha, Peter Kestenholz, Fabrizio Minervini","doi":"10.21037/jovs-23-16","DOIUrl":"https://doi.org/10.21037/jovs-23-16","url":null,"abstract":"Background: Thymoma is a rare malignant tumour in adults which originates from thymic epithelial cells. Micronodular thymoma with lymphoid stroma is a rare subtype that accounts for about 1% of all thymoma cases. Due to the extremely limited number of reported cases, the clinical guidelines and therapeutic regimens have not yet been established.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Objective: With the increasing volumes of computed tomography (CT) done in daily practice, there is an ever-increasing role for diagnostic bronchoscopy in sampling peripheral lung nodules. The past twenty years have led to significant advances in electromagnetic navigation systems and are dominated by the superDimension™ system (Medtronic, Minneapolis, MN, USA) and the Veran® SPiN system (Veran Medical Technologies, St. Louis, MO, USA). Their yield in available studies is as low as 33% when used without other localization systems. In 2019, two robotic systems were approved: the Monarch® (Auris Health, Redwood City, CA, USA) which utilizes electromagnetic navigation and the Ion™ (Intuitive Medical, Sunnyvale, CA, USA) which uses shape-sensing technology. When comparing the Ion™ to traditional electromagnetic navigation there are many advantages including small catheter (i.e., bronchoscope) size, ability to lock catheter in place, and integration with other localization systems. While preliminary data is suggestive of an improved yield, data remains limited. This review will provide a brief history of bronchoscopy using electromagnetic navigation and discuss the differences when compared to the Ion™ robotic bronchoscope.
背景与目的:随着计算机断层扫描(CT)在日常实践中的应用越来越广泛，支气管镜在肺周围结节取样诊断中的作用越来越大。在过去的二十年中，电磁导航系统取得了重大进展，并以superDimension™系统(美敦力公司，明尼阿波利斯，MN，美国)和Veran®SPiN系统(Veran医疗技术公司，圣路易斯，MO，美国)为主导。在现有研究中，如果不使用其他定位系统，它们的产率低至33%。2019年，两种机器人系统获得批准:Monarch®(Auris Health, Redwood City, CA, USA)，采用电磁导航，Ion™(Intuitive Medical, Sunnyvale, CA, USA)，采用形状感应技术。与传统的电磁导航相比，Ion™具有许多优势，包括导管(即支气管镜)尺寸小，能够将导管锁定到位，以及与其他定位系统集成。虽然初步数据表明产量有所提高，但数据仍然有限。本文将简要介绍使用电磁导航的支气管镜检查的历史，并讨论其与Ion™机器人支气管镜的区别。
{"title":"Robotic bronchoscopy for diagnosis of lung nodules using the Ion system: a narrative review of the technical aspects and advantages over standard flexible bronchoscopy with electromagnetic navigation","authors":"Sohini Ghosh, Samir Patel","doi":"10.21037/jovs-21-51","DOIUrl":"https://doi.org/10.21037/jovs-21-51","url":null,"abstract":"Background and Objective: With the increasing volumes of computed tomography (CT) done in daily practice, there is an ever-increasing role for diagnostic bronchoscopy in sampling peripheral lung nodules. The past twenty years have led to significant advances in electromagnetic navigation systems and are dominated by the superDimension™ system (Medtronic, Minneapolis, MN, USA) and the Veran® SPiN system (Veran Medical Technologies, St. Louis, MO, USA). Their yield in available studies is as low as 33% when used without other localization systems. In 2019, two robotic systems were approved: the Monarch® (Auris Health, Redwood City, CA, USA) which utilizes electromagnetic navigation and the Ion™ (Intuitive Medical, Sunnyvale, CA, USA) which uses shape-sensing technology. When comparing the Ion™ to traditional electromagnetic navigation there are many advantages including small catheter (i.e., bronchoscope) size, ability to lock catheter in place, and integration with other localization systems. While preliminary data is suggestive of an improved yield, data remains limited. This review will provide a brief history of bronchoscopy using electromagnetic navigation and discuss the differences when compared to the Ion™ robotic bronchoscope.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Video 1 Subcostal uniportal video-assisted thoracoscopic resection of a pulmonary nodule using a diode laser.
视频1肋下单门电视胸腔镜下二极管激光肺结节切除术。
{"title":"Subcostal uniportal video-assisted thoracoscopic resection of a pulmonary nodule using a diode laser: a case report","authors":"Volkan Kösek, Burkhard Thiel, Eyad Al Masri, Ulukan Cenal, Nezar Abuagrab, Bassam Redwan","doi":"10.21037/jovs-21-55","DOIUrl":"https://doi.org/10.21037/jovs-21-55","url":null,"abstract":"Video 1 Subcostal uniportal video-assisted thoracoscopic resection of a pulmonary nodule using a diode laser.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135702909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Surgical support for patients with pulmonary emphysema and excessive airway collapse was first developed in the 1950s by Herzog and Nissen (1,2). At the time, the terms tracheal dyskinesia, dystonia, hypotonia and prolapse were used in French and German scientific literature to describe what was thought to be the cause of obstruction to expiratory airflow in this patient population, and is more currently known as excessive central airway collapse (ECAC) (1-4). Naturally, the surgical technique of tracheobronchoplasty (TBP) evolved since, but the goal has remained the same: to restore a normal configuration of the airway by stabilizing the cartilaginous rings and/or the redundant posterior membranous wall.
{"title":"The evolution of tracheobronchoplasty.","authors":"Charles T Bakhos, Abbas E Abbas","doi":"10.21037/jovs-21-69","DOIUrl":"https://doi.org/10.21037/jovs-21-69","url":null,"abstract":"Surgical support for patients with pulmonary emphysema and excessive airway collapse was first developed in the 1950s by Herzog and Nissen (1,2). At the time, the terms tracheal dyskinesia, dystonia, hypotonia and prolapse were used in French and German scientific literature to describe what was thought to be the cause of obstruction to expiratory airflow in this patient population, and is more currently known as excessive central airway collapse (ECAC) (1-4). Naturally, the surgical technique of tracheobronchoplasty (TBP) evolved since, but the goal has remained the same: to restore a normal configuration of the airway by stabilizing the cartilaginous rings and/or the redundant posterior membranous wall.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"8 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/1a/nihms-1807579.PMC9132255.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01Epub Date: 2019-05-07DOI: 10.21037/jovs.2019.04.02
Roman V Petrov, Charles T Bakhos, Abbas E Abbas
Modern esophagectomy includes the esophageal extirpation with immediate reconstruction of the gastrointestinal (GI) continuity via posterior mediastinal route. In the majority of cases tubularized stomach is chosen as the conduit of choice. Other conduits, such as colon or small bowel can be used for these purposes as well. In rare circumstances use of the alternative route for the conduit placement is required. Authors describe the technique of robotic substernal esophageal bypass and reconstruction of the esophageal continuity.
{"title":"Robotic substernal esophageal bypass and reconstruction with gastric conduit-frequently overlooked minimally invasive option.","authors":"Roman V Petrov, Charles T Bakhos, Abbas E Abbas","doi":"10.21037/jovs.2019.04.02","DOIUrl":"10.21037/jovs.2019.04.02","url":null,"abstract":"<p><p>Modern esophagectomy includes the esophageal extirpation with immediate reconstruction of the gastrointestinal (GI) continuity via posterior mediastinal route. In the majority of cases tubularized stomach is chosen as the conduit of choice. Other conduits, such as colon or small bowel can be used for these purposes as well. In rare circumstances use of the alternative route for the conduit placement is required. Authors describe the technique of robotic substernal esophageal bypass and reconstruction of the esophageal continuity.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"5 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538941/pdf/nihms-1029518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37295978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-31eCollection Date: 2018-01-01DOI: 10.21037/jovs.2018.05.15
Luca Di Marco, Luigi Lovato, Giacomo Murana, Ciro Amodio, Francesco Buia, Roberto Di Bartolomeo, Davide Pacini
We present a case of a 48-year-old female patient with Marfan syndrome and previous open surgeries for Bentall procedure and arch replacement with frozen elephant trunk (FET) technique, who was admitted at our Department with a diagnosis of ascending aorta pseudoaneurysm at the anastomosis-site between composite valve graft and arch prosthesis treated by endovascular procedure because of she was considered to be at high-risk for a third open surgery and for the patient's favorable anatomy for endovascular closure of the pseudoaneurysm. The patient was successfully treated with the positioning of two abdominal cuffs through the left axillary artery. The postoperative course was uneventful and at 2-month follow-up, the patient was free of complications with CT angiogram showing complete endovascular exclusion of the pseudoaneurysm.
{"title":"Endovascular repair of ascending aorta pseudoaneurysm.","authors":"Luca Di Marco, Luigi Lovato, Giacomo Murana, Ciro Amodio, Francesco Buia, Roberto Di Bartolomeo, Davide Pacini","doi":"10.21037/jovs.2018.05.15","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.15","url":null,"abstract":"<p><p>We present a case of a 48-year-old female patient with Marfan syndrome and previous open surgeries for Bentall procedure and arch replacement with frozen elephant trunk (FET) technique, who was admitted at our Department with a diagnosis of ascending aorta pseudoaneurysm at the anastomosis-site between composite valve graft and arch prosthesis treated by endovascular procedure because of she was considered to be at high-risk for a third open surgery and for the patient's favorable anatomy for endovascular closure of the pseudoaneurysm. The patient was successfully treated with the positioning of two abdominal cuffs through the left axillary artery. The postoperative course was uneventful and at 2-month follow-up, the patient was free of complications with CT angiogram showing complete endovascular exclusion of the pseudoaneurysm.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"116"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36275089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：