Author： Sugimoto Ikuo
Publisher： Springer Publishing Company
ISSN： 0941-1291
Source： Surgery Today, Vol.34, Iss.11, 2004-11, pp. : 961-964
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
A 66-year-old woman was transferred to our hospital for emergency treatment of a ruptured abdominal aortic aneurysm (AAA) and impending rupture of a descending thoracic aortic aneurysm (TAA) caused by a Stanford type-B dissection. She had severe coronary artery disease and a highly calcified aorta, and had been taking long-term steroids for rheumatoid arthritis. Endovascular repair of the TAA failed because the femoral artery was too small, so we performed simultaneous repair of the TAA and the AAA. A temporary axillofemoral bypass was constructed and the AAA was replaced with a bifurcated prosthetic graft. A thoracic stent graft was delivered successfully through a chimney graft of the abdominal graft. About 4 months later, the TAA extended proximally, causing hemoptysis, which was stopped by placing a new stent graft proximal to the previous one. This case report shows that a combination of open and endovascular repair is useful for treating a TAA with an AAA, especially in a small or frail patient.
Related content
Access to resources
Recommend
By Donayre Carlos Adimora Uzoamaka Song Tae Kopchok George Lippmann Maurice White Rodney
The American Surgeon, Vol. 71, Iss. 9, 2005-09 ,pp. :
By Ruppert Volker Verrel Frauke Kellner Wolfgang Brandl Thomas Reininger Cornelia Steckmeier Bernd
Annals of Vascular Surgery, Vol. 18, Iss. 3, 2004-05 ,pp. :