Asian Cardiovasc Thorac Ann 2007;15:274
© 2007 Asia Publishing EXchange Ltd
IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Multi-Slice Scanner in Transdiaphragmatic Coronary and Abdominal Aortic Surgery
Georges Fayad, MD,
Thomas Modine, MD,
Stephan Haulon, MD1,
Richard Azzaoui, MD,
Christophe Lions, MD2,
Mohamed Koussa, MD1
Department of Cardiovascular Surgery Pr Warembourg
1 Department of Vascular Surgery
2 Department of Radiology, Hôpital Cardiologique, CHRU de Lille, France
For reprint information contact: Georges Fayad, MD Tel: 33 3 2044 5028 Fax: 33 3 2044 6992 Email: g-fayad{at}chru-lille.fr, Hôpital Cardiologique, CHRU, Boulevard du Pr. J.Leclercq, 59037 Lille Cedex, France.
A combined transdiaphragmatic off-pump coronary artery surgery and infrarenal abdominal aortic aneurysm repair (Figure 1
) was performed in a patient presenting a severe right coronary artery stenosis and an infrarenal abdominal aorta aneurysm. A Multi-Slice Computed Tomogrophy Scanner (SOMATOM Sensation 64, Siemens Medical Solutions, Forchheim, Germany) performed six months later, confirmed the efficacy of this indication (Figure 2).
View larger version (114K):
[in this window]
[in a new window]
|
Figure 1. Vein graft anastomosis between the coeliac aorta (A) and the posterior descending artery (B); incision of the diaphragm (C).
|
|
