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Dr. R. K. Jain

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Dr. R. K. Jain

  1. 1. On table fenestration stentgraft to saccular aneurysmof thoracic aorta. 80 yrs male CAD-TVD (1996) CABG (1996) X 3 Grafts, LIMA – LAD, SVG - RAMUS and PLVB. HTN (10 yrs), Hypothyroidism (1 yr). SR, No CHF, Good LV Function.
  2. 2.  Acute SOB – 3 months back. X-ray chest- showed saccular aneurysm. On evaluation found saccular aneurysm measuring 3.8 x 4.1 cm arising from arch/isthmus of aorta after origin of left subclavian artery projecting anteriorly and laterally showing mural thrombus and burrowing into lung parenchyma.
  3. 3.  Stent graft 36 x 77mm endovascular graft was done on 1/9/12 across left subclavian artery. On table fenestration of stent graft was done. Left subclavian stent through fenestration 8 x 38 mm covered stent inserted through left brachial artery.
  4. 4.  Plan to protect left sub clavian artery- LIMA to LAD. 2 options- hybrid procedure Custom made fenestration On table fenestration
  5. 5.  Discharged home on day4 15 days follow up Asymptomatic Will do follow up CT angio- 6 months.

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