Intra-operative dynaCT in visceral-hybrid repair of an extensive thoracoabdominal aortic aneurysm

Abstract

A 79-year-old presented with a thoracic rupture of a type II thoracoabdominal aneurysm.A hybrid-procedure (fourvisceral-vessel debranching and simultaneous endografting) was performed (Fig. 1).Completion angiography was unable to visualize the distal -landing zone adequately to exclude stent-related complications due to the proximity of the overlying inflow-graft (Fig. 2A).Intra-operative DynaCT offered cross-sectional evaluation ensuring technical success (Fig. 2B andC).