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.