Author/Editor | Gregorič, Igor D; Gupta, Kamal; Jacobs, Michael J; Poglajen, Gregor; Suvorov, Nina; Dougherty, Kathy G; Krajcer, Zvonimir | |
Title | Endovascular exclusion of a thoracoabdominal aortic aneurysm after retrograde visceral artery revascularization | |
Type | članek | |
Source | Tex Heart Inst J | |
Vol. and No. | Letnik 32, št. 3 | |
Publication year | 2005 | |
Volume | str. 416-20 | |
Language | eng | |
Abstract | Historically, open surgical repair of thoracoabdominal aortic aneurysms has been associated with high morbidity and mortality rates. Furthermore, endovascular exclusion alone can restrict blood flow to visceral arteries. We report a case of thoracoabdominal aortic aneurysm that was repaired using a hybrid approach: surgery followed by an endovascular procedure. A 53-year-old woman was admitted to our hospital for endovascular exclusion of a thoracoabdominal aortic aneurysm that included the superior mesenteric artery and the celiac artery. Aorto-mesenteric and aorto-celiac artery bypass grafting was performed to create a landing zone for subsequent endovascular exclusion of the aneurysm, which was completed successfully 6 weeks after the bypass procedure. For thoracoabdominal aortic aneurysms that extend beyond the superior mesenteric artery and the celiac or renal arteries, a hybrid approach, consisting of limited surgical treatment followed by endovascular exclusion of the aneurysm, may yield optimal results in selected patients with serious preoperative comorbidities. | |
Descriptors | AORTIC ANEURYSM, ABDOMINAL AORTIC ANEURYSM, THORACIC AORTOGRAPHY COLLATERAL CIRCULATION FOLLOW-UP STUDIES MAGNETIC RESONANCE ANGIOGRAPHY |