Endovascular Repair of Thoracic Aortic Aneurysms
DR.PRATT: Very early on Borgess was a leader in heart care, and with our new multi-disciplinary program, we’re now becoming a leader in vascular care. DR.ALAM: We primarily work on the thoracic aorta. The thoracic aorta is divided into three parts; an ascending part, a descending part, and an arch which connects the two.
Dr. Pratt primarily works on the ascending part of the aorta. I work on the descending part of the aorta, and when there is pathology that involves the aortic arch, then Dr. Pratt and I work together in a hybrid-like operation.
DR.PRATT: A lot of the patients have a large aneurysm that involves the ascending aorta, the transverse arch, and down into the descending aorta. So this picture shows you the arch of the aorta, and here’s the graft that it has not be deployed at this time, and then a couple of other images just getting different angles on that. And then you can see the graft is now deployed. So it’s within the other graft right here, and then it goes down to the mid-portion of the aorta.
So the aorta remodels around the graft. So it will start to shrink around the graft and heal to where the graft is long as we don’t have additional blood flow, this should take care of their problem for the rest of their life. DR.ALAM: A lot of these problems are usually asymptomatic, and they are found when people are looking for something like on a chest CT scan or a chest X-ray. What the referring doctors need to know is if there is any pathology in the thoracic aorta that is found either on an incidental ultrasound, CT, or X-ray, the patients need to be referred to us as soon as possible.
At Borgess Hospital, we have the endovascular suites that were created, and we have been able to take care of all these patients here.
DR.PRATT: Very early on Borgess was a leader in heart care, and with our new multi-disciplinary program, we’re now becoming a leader in vascular care. DR.ALAM: We primarily work on…By: Borgess Health
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