A 79 year old man is extubated on ICU after routine surgery. Examine and report the CXR. What procedure has he had?
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is a large endovascular aortic stent in situ.
The lung parenchyma look normal.
Trace of fluid in the horizontal fissure.
This man has had his thoracic aortic aneurysm repaired with an endovascular stent – endovascular aneurysm repair (or endovascular aortic repair) (EVAR)
Compared with ‘traditional’ open repairs – EVAR is associated with significantly lower peri-operative morbidity – there is no thoracotomy and no clamping of the aorta required (same for abdominal aortic aneurysm repairs)