Key result
Computed tomography angiography in a previously reported case (n=1) showed no significant occlusive disease in the paravisceral aorta, contradicting the authors' stated diagnosis.
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This letter to the editor questions the imaging interpretation of a previously published case report regarding a transaortic paravisceral aortic thrombectomy and aortobifemoral bypass grafting.
A recent publication in JVSCIT, entitled “Midline transperitoneal infrapancreatic approach to the supraceliac aorta”1 describes a patient who presented with intermittent claudication and underwent a transaortic paravisceral aortic thrombectomy and aortobifemoral bypass grafting. It was stated that “Computed tomography angiography (CTA) demonstrated significant paravisceral and infrarenal atherosclerotic disease”. However, Figure 2A/B shows a CTA without any significant aortic occlusive disease in the paravisceral aorta.
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Messina et al. (2026) conducted a letter in Intermittent claudication and aortic atherosclerotic disease. Transaortic paravisceral aortic thrombectomy and aortobifemoral bypass grafting was evaluated. Computed tomography angiography in a previously reported case (n=1) showed no significant occlusive disease in the paravisceral aorta, contradicting the authors' stated diagnosis.
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