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Fig 1.

Hybrid treatment for Crawford type III TAAA with Marfan syndrome.

Left: the preoperative CTA image of TAAA; Middle: the retrograde revascularization from bilateral CIA; Right: The angiography of DSA for the RVR with bilateral CIA following hybrid treatment.

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Fig 1 Expand

Fig 2.

Sketches of model geometry.

A) Structure of normal AA; B) RVR using unilateral quar-furcated graft; C) RVR using bilateral bi-furcated grafts. CA-celiac artery, LRA-left renal artery, RRA-right renal artery, SMA- superior mesenteric artery, LCIA-left common iliac artery, RCIA-right common iliac artery.

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Fig 2 Expand

Fig 3.

Mesh generations of AA with RVR; A) Structure of normal AA; B) AA with quar-furcated bypass graft; C) AA with bi-furcated bypass graft; D) Zoom-in View of boundary layer.

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Fig 3 Expand

Fig 4.

3D Grid independence test.

The WSS distributions along the aorta centerline were presented at two different meshes.

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Fig 4 Expand

Fig 5.

Histograms of the flow split for each branch artery A) healthy abdominal aorta; B) RVR using unilateral quar-furcated graft; C) RVR using bilateral bi-furcated grafts.

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Fig 6.

The Zoom-in WSS contour maps.

A1, A2)the graft bifurcation; B1, B2) the aorta bifurcation; C1, C2) the anastomosis region. A1, B1, C1 represent the local regions of the RVR with unilateral quar-furcated graft; A2, B2, C2 represent the local regions of the RVR with bilateral bi-furcated grafts.

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Fig 6 Expand

Fig 7.

The streamlines superimposed the contour maps of velocity magnitude in the symmetry planes.

A1, A2) the graft bifurcation; B1,B2) the aorta bifurcation; C1,C2) the anastomosis region. A1,B1,C1 represent the local regions of the RVR with unilateral quar-furcated graft; A2,B2,C2 represent the local regions of the RVR with bilateral bi-furcated grafts.

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Fig 7 Expand

Fig 8.

To have a better view of the effect of graft type on the hemodynamic parameters, 8 slices of the configurations were chosen for the calculation of the area-averaged WSS and pressure drop.

a) the sketch of the 8 slices. b) the area-averaged pressure drop. c) area-averaged WSS.

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Fig 8 Expand